Management approach to the COVID-19 sick or suspected patient
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
#Dr_Kazy_Habib
#Dr_Kazy_Habibur_Rahman
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