Management approach to the COVID-19 sick or suspected patient

Contact person with COVID-19 patients – Stay at home / Quarantine 

Asymptomatic COVID-19 patients- Stay at home, monitor status and Food treatment 

Mild COVID-19 sick patients- Fever, cough, diarrhea – Home treatment + doctor advice 

Moderate COVID-19 sick patients- Medical care from home/ Outpatient medical care

• More troublesome cough but not in pain

• Temperature more than 37.8°c.

• Breathless on exercise, walking up the stairs, but not to a degree that alarms you

• Diarrhoea

Severe COVID-19 sick patients- Hospitalize the patient for emergency care

Hospitalize or take emergency medical treatment for the following condition 

Bedside signs of shock for both COVID-19 and other patients are 

Vital signs-

• Heart rate or pulse more than 100 b /minute 

• Blood pressure, less than 90 mm of Mg

• Change in mental status, Alert is a good sign. verbal, pain, or unresponsive is concerning 

• Cold hands and feet

• Capillary refill more than 4 seconds, 

• Urine output less than 0.5 ml /kg/hour measured over at least 30 minutes.

• Shock index more than 1. 

                             Heart rate or pulse

Shock index = ………………………………………. = > 1

                           Systolic blood pressure (0.9 or less)

Signs or symptoms of respiratory distress.

These signs include 

• Oxygen saturation SpO2 reading lower than 94%.  

• Slow or rapid breathing, more than 30 breaths per minute 

• Diaphoresis, or sweating, 

• Inability to lie flat, 

• Brief speech, or 

• Use of abdominal accessory and   muscles for breathing.

Signs of respiratory failure may include 

• Cyanosis or blue discoloration of the skin, or 

• Unconsciousness. 

• Shortness of breath /Problems with Oxygenation or Ventilation, or a combination of both. 

Associated complication 

For COVID-19 patients,

• Signs of toxicity -edema in the legs, 

• Signs of heart failure with lower extremity edema, 

• Signs of deep vein thrombosis with asymmetric lower extremities, swelling,

• Signs of acute limb ischemia with absent pulse, rashes etc. 

Patients should be more concern who have past medical history of-

• Heart disease, 

• Lung disease, and 

• Diabetes 

References- Coursera, Standford Medicine, CDC, Patient.info etc.  

Thank you very much

Dr. Kazy Habib BHMS, MPH

General Physician, Homoeopathic Medicine 

Contact: 8801738618894 (call, Imo)

Kazy Homoeopathic Treatment & Private Research Center

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