1/10 - Clinical guidance for management of Covid-19 patients
Clinical guidance for management of Covid-19 patients.
2/10 - Intubation should be prioritized in patients
Intubation should be prioritized in patients with high work of breathing /ifNIV is not tolerated.
3/10 - Consider use of NIV
Consider use of NIV (Helmet or face mask interface depending on availability) in patients with increasing oxygen requirement, if work of breathing is low.
4/10 - Anti-inflammatory or immunomodulatory therapy can have risk of secondary infection
Anti-inflammatory or immunomodulatory therapy (such as steroids) can have risk of secondary infection such as invasive mucormycosis when used at higher dose or for longer than required.
5/10 - Patients may be initiated or switched to oral route
Patients may be initiated or switched to oral route if stable and/or improving.
6/10 - Possibility of coinfection must be considered
Possibility of coinfection of Covid-19 with other endemic infections mustbe considered.
7/10 - Avoid antibiotics unless there is clinical suspicion
Antibiotics should not be used unless there is clinical suspicion of bacterialinfection.
8/10 - Seek immediate medical attention if:
Difficulty in breathing or SpO ≤ 93%, high grade fever/severe cough,particularly if lasting for >5 days, a low threshold to be kept for thosewith any of the high-risk features.
9/10 - Monitor temperature and oxygen saturation
Monitor temperature and oxygen saturation (by applying a SpO probeto fingers.)
10/10 - Proper distancing and hand hygiene should be the priority
Maintain proper physical distancing, use indoor mask , and keep hand hygiene.
