Dry mucous membranes & Tongue ulceration
Chief Complaint A 68 y/o male presents with dry mucous membranes & tongue ulceration. No complaint of abdominal pain. Vitals BP: 125/80, Pulse: 115/mint, Resp rate: 31/min, Temprature: 98.4 degree F, O2 saturation is 84% on room air. Investigations WBCs 17500 mm3, neutrophils 12500, lymphocytes 0.5 × 103/μL, LDH 496 u/l (reference 130–220 U/L). Chest X-ray shows bilateral lower zone infiltrates. COVID-19 reverse transcriptase-polymerase chain reaction test - positive. ECG shows sinus tachycardia with a rate of 135 bpm. Treatment Advise your valuable opinion.
RT pcr positive covid19 pneumonitis with hypoxia and has septicemia inflammatory markers are raised Xray chest says bilaterally infiltrates ie GGOs in lower zones Rx inj Remdesivir Inj Ceftriaxozone Inj dexamethasone Inj lasix Inj enoxiparum Rest oral supportive treatment
Rt PCR positive Sarscov2 Do hrct Low lymphocyte in covid pt risk of kidney disease Leucocytosis Sinus tachycardia Xray chest 2 decho ddimer Hypoxia Oxygen therapy Inj dexa6 mg Lmwh bd Inj remedesivir200 stat then100 od
Covid positive status with raised WBC count indicate secondary bacterial infection Low saturation indicate moderate to severe disease Adv Oxygen supplement with high flow nasal cannula and if required BIPAP ventilation Remdesivir Doxycycline Ivermectin Azithromycin Piperacillin tazobactum Methylprednisolone Insulin for high blood sugar Vitamin C Montelukast All above medications have role in treatment of Covid 19 Role of insulin in treatment of Covid 19, please read my article 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
NEED'S.. MANAGEMENT AS PER PROTOCOLS FOR COVID-19.. BY..ICMR.. NEED'S.. HRCT THORAX.. 2D ECHO STUDY..
Admit patient in ICU Inj remdesivir Inj meropanum Inf solumedrol 40 mg Inj meropanum
Fissure Tongue Stomatitis
Covid pneumonia Septicemia Hypoxìa
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