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Care of Children with Neuromuscular Disease during a Cold (5530)

Care of Children with Neuromuscular Disease during a Cold (5530) - Clinical Hub, Patient Education, Health and Nutrition Facts For You, Pediatrics, Parenting

5530




Care of Children with Neuromuscular Disease during a Cold

During a cold, children with muscle
weakness can have a very hard time clearing
mucus from their lower airway. You can
help them by following these steps.

1. These steps should be done in the
order shown below every four hours
and as needed while the child has a cold.

a. Cough machine, four sets of 5
breaths
b. Chest physiotherapy for 10-20
minutes
c. Cough machine, four sets of 5
breaths
d. Postural drainage for 15-30
minutes (if appropriate)
e. Cough machine, four sets of 5
breaths

2. Use the cough machine every time your
child sounds rattley or has trouble
coughing out secretions. You cannot use
this machine too much. If your child
cannot get mucus out of the back of his
throat, suction his mouth.
3. If your child is on BiPAP, use the
BiPAP machine with a nasal mask every
time he is asleep. Also use it if your
child is napping during the day. Your
child is weaker than usual during colds
and may need BiPAP use continuously
during times of illness.

4. Use the oximeter to check your child’s
oxygen saturations once per day when
well and three times per day and as
needed when sick. If the oxygen
saturation is less than 94%, use the
cough machine to clear secretions and
recheck the oximetry. If the oxygen
saturation is 92% or less and using the
cough machine is not increasing the
oxygen saturation, please call the
Pediatric Pulmonary Clinic
608-263-6420. Your child may need to
be in the hospital for more therapy.

If your child is vomiting, he may become
dehydrated. This can be very serious for
children with neuromuscular weakness.
Please call the Pediatric Pulmonary Clinic
608-263-6420.



Your health care team may have given you this information as part of your care. If so, please use it and call if you
have any questions. If this information was not given to you as part of your care, please check with your doctor. This
is not medical advice. This is not to be used for diagnosis or treatment of any medical condition. Because each
person’s health needs are different, you should talk with your doctor or others on your health care team when using
this information. If you have an emergency, please call 911. Copyright © 8/2017 University of Wisconsin Hospitals
and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#5530