Covid patient saturation falls on movement/getting up from bed, last day of steroid today,Ur advise?

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From your statement it appears she is post covid lung disease like fibrosis which not only responsible for cough but positional 02 saturation Lesion still seems to be in progress so needs fresh review She needs 02 concentrators help Spirometry Steaming Antifibrotic drugs

Thanx dr Rakesh Kayasth (pt)
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NEED'S.. HRCT THORAX.. HOSPITALIZATION IN COVID CENTER.. MANAGEMENT AS PER PROTOCOLS.. FOR COVID-19 BY..ICMR.. O2 SUPPORT.. BUDAMATE NEBULIZATION.. BRONCHODILATORS.. DEXA .. CEFTRIAXONE.. AZITHROMYCIN.. LIMCEE .. ZINC .. VITAMIN D3 60 K .. SYMPTOMATIC T/T.. LIFE SUPPORTIVE MEASURES..SOS..

Already being managed by covid 19 protocol in a L2 covid hospital
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This patient needs oxygen support HRCT chest to look for severity of disease Treatment Capsule Doxy 100 mg one capsule twice a day for 7 days Tablet Azee 500 mg One tablet daily for 7 days Tablet Ecosprin 75 mg one tablet daily for 30 days Tablet Ivermectin 12 mg One tablet twice a day for 5 days Tablet Montair LC once a day for 7 days (Levocetrizine Montelukast combination) Tablet Rosuvastatin 5 mg once daily Tablet Celin/ Tablet Limcee 500 mg once daily for 30 days Paracetamol for fever as and when needed Glargine insulin injection 4 units per day Glargine insulin Brand name - Lantus insulin also called as Solostar injection (Brand Name Solostar) 32 number needle to be attached to syringe 4 units to be taken every day once a day for 10 days It is to be taken at same time every day, it can be taken at any time, time need to be same every day Kindly go through my article on role of insulin in treatment of Covid 19 https://jmscr.igmpublication.org/home/index.php/archive/178-volume-08-issue-07-july-2020/9517-use-of-insulin-in-treatment-of-covid-19-a-proposal-to-explore-feasibility

She becomes breathless and spo2 falls even upon slightest movement,overall she is feeling much better now compared to before,but the concern is being breathless and SPO2 falling as said

ics laba combination will improve condition fast ...
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She is maintaining 96 percent SpO2 at 5 litres of O2, CRP, D Dimer, Pro-calcitonin all are normal as per recent report During the treatment, her D Dimer was more than 6400, after which therapeutic anticoagulation of Clexane 40 bd was given for 6 days, now d dimer is normal NLR was high, recent TLC was 15k Patient has unstoppable cough yesterday, but after inj avil, tab Histafree morning, anti tussive, tab telekast L at bedtime, she is fine now pertaining to cough. But my concern is how long will it take for her to be fine? Steroids usage has been for almost 20 days now, so its last day today Patient is hospitalised at a L2 covid hospital, and seeking advise

Patients weekness.. HRCT thorax.. Hospitalization in covid center.. Management.. Protocol of patients covid 19.. Patients need oxygen.. Capsule doxycycline 100 mg.. Tab ivermectin 12 mg 5 days.. Tab paracetamol.. Tab Azithromycin 250 Mg od 5 days.. Tab multivitamin antioxidants trace elements.. Solostar injection 4 unit to taken every day.. Steroids uses...

Do not remove oxygen high pressure oxygen lmwheparin

If saturation about 92 it is ok Otherwise do 6 minutes walk test Steriod tapper Less then 15 days you can stop Directly also

TREATMENT YOU SHOULD GIVE AS PER COVID ICMR PROTOCOL... DUE TO ABUNDANCE OF OXYGEN LEVEL?? RX - MULTIVITAMINS AND ANTIOXIDANT , MULTIMINERALS TABLET YOU SHOULD START , TAB - ZINDERVIT BD PC HIGHER ANTIBIOTICS GIVE - CEFTRIAXONE AND SULBACTUM ..

Ad Nurolgical examination Ref to neurologists

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