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Covid Treatment

COVID-19:
THINGS YOU NEED TO KNOW

As COVID-19, caused by the coronavirus, continues to spread across the world, and possibly in your city, it’s important to know whether your symptoms are mild, moderate or severe, and when to seek medical help. Coronavirus typically causes the common cold or other mild respiratory viral illnesses, but this new strain can cause much more serious illness, even death, in some patients.

How your body responds to this new coronavirus infection depends on your:

  • Age
  • Immune system
  • General health
  • Any underlying health conditions; comorbidities include being aged 65 years or older; having cardiovascular disease, chronic lung disease, sickle cell disease, diabetes, cancer, obesity, or chronic kidney disease; being pregnant; being a cigarette smoker; and being a recipient of transplant or immunosuppressive therapy. Health care providers should monitor such patients closely until clinical recovery is achieved.
  • It’s possible to have the infection and not show any coronavirus symptoms at all.

MILD

Symptoms:

  • Low-grade fever (not more than 100 degrees Fahrenheit)
  • Dry cough
  • Fatigue
  • Headache
  • New loss of taste or smell
  • Gastrointestinal upset, including vomiting and diarrhea
  • Itchy, painful patches on skin (especially in young people). These patches often show up on the toes and have been referred to as “COVID toes.”

Treatment:

Most mildly ill patients can be managed in an ambulatory setting or at home through telemedicine or telephone visits

  • No imaging or specific laboratory evaluations are routinely indicated in otherwise healthy patients with mild COVID-19.
  • Older patients and those who are at higher risk of disease progression should be monitored closely until clinical recovery is achieved.

For Speedy Recovery:

  • Take plenty of rest
  • Practice pranayama and do brisk walk around the room
  • Physical Distancing, use mask, strict hand hygiene

What To Eat:

  • Take protien rich diet and fruits
  • Drink milk with turmeric in night
  • Have walnut and fig (anjeer) and 2 eggs
  • Drink enough water everyday
  • Eat moderate amount of fat and oil
  • Eat less salt and sugar

Recommended Medicines:

Name of the medicine Type of the medicine Quantity Instruction for use
Tab Azithral Antibiotics 7 Once day after meal in afternoon
Tab Ivermectin Antihelmintics 3 Once a day for 3 days(not to be used by pregnant and lactating mother)
Tab Hydroxychloroquinone Antirheumatic 4 Once a day for 4 days (only when advised)
Budesonide Inhalation corticosteroids 1 800 mcg twice a day for 5 days if symptoms (fever/cough) are persistent beyond 5 days of disease onset.
Tab Celin Vitamin C 14 1 tab daily after breakfast
Tab Lumia 60k Vitamin D 4 1 CAP per week
Tab Zincovit Multivitamin 14 1 tab daily after breakfast
Dolo 650 Antipyretic 6 1 tab after meal if fever is there
Betadin Gargle Gargles 1 3 times a day gargle with hot water
Bespicold cough syrup For dry cough 1 3 times a day if cough is present
Tab PAN 40 Acidity 7 1 tab daily in morning on empty stomach if acidity is present
Tab Montek RC Anti-allergic 5 1 tab after dinner

*Please do not take these medicines without proper doctor's consultation.

  • Steam Inhalation - 3 TIMES A DAY
  • Pulse Oximeter – Normal oxygen saturation level of blood in a healthy individual is 95% to 100%. Check 3 times in day . If having trouble of shortness of breath. Seek immediate medical attention if high grade fever/ severe cough for more than 5 days

Moderate

Symptoms:

  • Fever of about 101-102 degrees Fahrenheit
  • Chills, with repeated shaking
  • Deep cough
  • Fatigue and body aches
  • Muscle pain
  • General feeling of being unwell
  • Who have an oxygen saturation level less than or equal to 94% on room air.

Recommended Medicines:

Name of the medicine Type of the medicine Quantity Instruction for use
Giving Oxygen support OXYGEN SUPPORT 92-96 % (in patient with 88-92% with COPD) Preferred Device-non-rebreathing face mask.
Methylpredinisolone Anti inflammatory or immunomodulatory 10 0.5 to 1 mg/kg in 2 dividened doses for 5-10 days
Enoxaparin ANTI COAGULATION 0.5mg/kg per day SC
Tab Azithral Antibiotics 7 Once day after meal in afternoon
Tab Ivermectin Antihelmintics 3 Once a day for 3 days(not to be used by pregnant and lactating mother)
Tab Hydroxychloroquinone Antirheumatic 4 Once a day for 4 days (only when advised)
Budesonide Inhalation corticosteroids 1 800 mcg twice a day for 5 days if symptoms (fever/cough) are persistent beyond 5 days of disease onset.
Tab Celin Vitamin C 14 1 tab daily after breakfast
Tab Lumia 60k Vitamin D 4 1 CAP per week
Tab Zincovit Multivitamin 14 1 tab daily after breakfast
Dolo 650 Antipyretic 6 1 tab after meal if fever is there
Betadin Gargle Gargles 1 3 times a day gargle with hot water
Bespicold cough syrup For dry cough 1 3 times a day if cough is present
Tab PAN 40 Acidity 7 1 tab daily in morning on empty stomach if acidity is present
Tab Montek RC Anti-allergic 5 1 tab after dinner

*Please do not take these medicines without proper doctor's consultation.

Treatment:

  • Giving Oxygen support - Target saturation oxygen required level :- 92-96 % (in patient with 88-92% with COPD)
  • Steam Inhalation - 3 TIMES A DAY
  • Pulse Oximeter – Normal oxygen saturation level of blood in a healthy individual is 95% to 100%. Check 3 times in day . If having trouble of shortness of breath. Seek immediate medical attention if high grade fever/ severe cough for more than 5 days

For Speedy Recovery

  • Take plenty of rest
  • Practice pranayama and do brisk walk around the room
  • Physical Distancing, use mask, strict hand hygiene

What To Eat

  • Take protien rich diet and fruits
  • Drink milk with turmeric in night
  • Have walnut and fig (anjeer) and 2 eggs
  • Drink enough water everyday
  • Eat moderate amount of fat and oil
  • Eat less salt and sugar

Keep a Tab on

  • Controlled Breathing, Hemodynamic instability.,Change in oxygen requirement,
  • Serial CXR, HRCT chest to be done only if there is worsening.
  • Lab Monitoring -
CRP and D-Dimer CBC KFT LFT IL-6 levels
48 to 72 hrly 24 TO 48 hrly 24 TO 48 hrly 24 TO 48 hrly to be done if deterioting

SEVERE

Symptoms:- All the common symptoms mentioned earlier along with:

  • Shortness of breath, even when you’re not exerting yourself
  • Chest discomfort
  • Unresponsiveness
  • Trouble staying awake
  • Eye problems, such as watery eyes or swollen eyelids
  • Bluish face/lips (a sign you’re not getting enough oxygen)
  • Saturation oxygen level less than 94% on room air ; Respiratory frequency less than 30 breaths/min.
  • Breathing issues are a medical emergency. Call your healthcare provider or State Govt. Helpline No. 0141-2225624/2225000, Toll Free No: 104/108 (Rajasthan) for immediate guidance. COVID-19 can lead to pneumonia and lung scarring.

Recommended Medicines:

Name of the medicine Type of the medicine Quantity Instruction for use
Giving Oxygen support OXYGEN SUPPORT 92-96 % (in patient with 88-92% with COPD) Preferred Device-NIV/ HFNC.
Methylpredinisolone Anti inflammatory or immunomodulatory 10 0.5 to 1 mg/kg in 2 dividened doses for 5-10 days
Enoxaparin ANTI COAGULATION 0.5mg/kg per day SC

*Please do not take these medicines without proper doctor's consultation.

Supportive Measures:

  • Maintain euvolemia (if available, use dyanmic measures for assessing fluid responsiveness)

Diagnostic Monitoring:

  • Serial CXR, HRCT chest to be done only if there is worsening.
  • Lab Monitoring -
CRP and D - Dimer CBC KFT LFT IL-6 levels
24 to 48 hrly Daily Daily Daily To be done if deterioting

EMERGENCY USE AUTHORIZATION

REMDESIVIR

  • Only can be considered with moderate to severe patient
  • With no renal or hepatic dysfunction
  • Who are within 10 days of onset of symptoms
  • Not to be used who are not on oxygen support or in home settings

TOCILIZUMAB

  • For only severe patients
  • Raised inflammatory markers
  • Non improving despite use of steroids
  • No active infection

CONVALESCENT PLASMA

  • Early or moderate disease
  • Availabilty of high donor plasma
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Note: This data is collected from various sources. In case of emergency please reach out to your nearest hospital.