covid positive case

I have a male patient 40yrs old ,covid positive with no comorbidities except high triglycerides abov Chief Complaints cough with sputum History M/ 40 , having productive cough as presenting complaint and fever( past 2day) . no comorbidities. Home isolation and taking Azitro, Doxy, Iver, Multivitamins, montek LC Pls advice whether to start on steroids or antivirals? Vitals All are WNL Investigations CRP :29 D - Dimer : 462 CBP and IL -6 : WNL HRCT not done

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Covid positive case Need to go for xray chest and sos hrct Crp is positive D-dimer on higher side Symptoms suggest active covid infection Needs to start antiviral fepinavir 200mg 9tabs(1800)mg bd for 1st day Followed by 800mg bd for next 14days Continue azithromycin 500mg 1od for 5days Add bronchodilators and cough expectorants If pt is dysponic add nebulisation or inhalers Monitor sp02 if below 90%add niv 02 supplements Check ecg If hrct suggestive of CORAD above 9 start inj Remdesivir Diuretics Sos steroids

Thanx dr Dinesh Gupta
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NEED'S.. MANAGEMENT AS PER PROTOCOLS FOR COVID-19.. HRCT THORAX.. ISOLATION.. ZIVERDO KIT.. AZITHROMYCIN 500MG X DAILY.. LIMCEE .. LEVOCETIRIZINE +MONTELUCAST.. DEFLAZACORT 12MG BD.. SYMPTOMATIC T/T..WITH CLINICAL CORRELATION.. HOSPITALIZATION IN COVID.. CENTERS..SOS

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Spo2 , Sputum AFB, Chest X-ray & CBC . Isolate the pt and follow all Corona protocols. O2 inhalation sos, Steam inhalation ×2 daily Symptomatic tt only.Right now no need of Anti virals or Dexamethasone. Wait & watch.

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Continue Same treatment or admit in COVID hospital

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Favipiravir 800mg BD is advisable. In Aurveda, Rx Sanjivani vati 2tid Sudarshan ghanvati 3tid SH tab 1bd Shunthi dhanayak fant 1 times a day for 4 to 6 days. shadbindu oil for daily nasya.

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As per History doesn't require steriods now..and do HRCT CHEST.. If vitals stable and saturation maintain with room air -continue same treatment..

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ADVISABLE C. T. ..SCAN NEEDS ANTIVIRAL.... IF. REQUIRED. AS. PER. REORYS

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hospitalized  routine laboratory lipid tests

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