Upper Respiratory Infections in Children Wheezing
Some upper respiratory infections in children may cause mild wheezing. This is particularly common in children who suffer from asthma. A URI can make asthma more difficult to control.
Home care for mild wheezing includes:
- Avoid exposure to smoke.
- Avoid cough medicine.
- Avoid sedative medications.
- Avoid substances that trigger wheezing.
- Drink plenty of liquids to remain hydrated.
- Place a vaporizer or nebulizer in the bedroom at night.
Home care for children who take medication for wheezing includes:
- Follow asthma home care instructions.
- Learn to use prescribed inhalers correctly.
- Use short-acting inhalers every 20 minutes, or as directed by your doctor.
- Long-acting medications must be used regularly.
- Learn to use a peak flow meter.
- Know the peak flow danger zones.
- Develop a strategy for using your inhaler based on your PEFR reading
- Stay calm during a wheezing attack.
Peak Flow Zones:
- Green Zone:
- A PEFR reading that is 80-100% of personal best represents good control
- Yellow Zone:
- A PEFR reading that is 50-80% of personal best represents a moderate attack
- Red Zone:
- A PEFR reading that is less than 50% of personal best represents a severe attack and may identify the need for treatment in an emergency department.
- Autret-Leca E, Giraudeau B, Ployet MJ, Jonville-Bera AP. Amoxicillin/clavulanic acid is ineffective at preventing otitis media in children with presumed viral upper respiratory infection: a randomized, double-blind equivalence, placebo-controlled trial. Br J Clin Pharmacol. 2002 Dec;54(6):652-6. 
- Butler CC, Hood K, Kinnersley P, Robling M, Prout H, Houston H. Predicting the clinical course of suspected acute viral upper respiratory tract infection in children. Fam Pract. 2005 Feb;22(1):92-5. 
- Fahey T, Stocks N, Thomas T. Systematic review of the treatment of upper respiratory tract infection. Arch Dis Child. 1998 Sep;79(3):225-30. 
- Lam TP, Lam KF. Why do family doctors prescribe antibiotics for upper respiratory tract infection? Int J Clin Pract. 2003 Apr;57(3):167-9.