RX GUIDELINES FOR COVID19?
Since this viral disease is now almost for 1yr in india and lot of discussion took place It is life threatening disease hence need to be treated urgently 1 asymptomatic 2 mild to moderate 3 severe or critical Asymptomatic pt don't exhibit any symptom but RT pcr or rap8d antigen test is +ve and need to be quarantined for 15days with instructions of keep distancing sanitize frequently Washing of hands Report to nodal agency Immidiate contact to physician concerned for any new development 2 mild to moderate Fever cold and cough and body pain Aguesia etc Should be kept under self isolation quarantine for 15day with all instructions given earlier Rx tab doxycycline 100mg 1od for 7days Tab ivermectin 12mg 2tad od for 3days Tab hcqs 400mg 1bd for 1st day Followed by 200mg 1bd for 7days Keeping watch on qtc interval by ecg monitoring Tab fapiravir 200mg 9tab bd for 1st day Ie 100mg bd From next day 400mg bd for next 7to14 days Tab zinc 50mg od Vit d3 60k weekly Tab vit C Vit A Rest symptomatic Monitoring 02 3 severe and critical Pt need to be hospitalised Either in normal ward or semi icu or icu or critical icu management as per condition of pt To investigate in detail Cbc esr crp sr ferritin D-dimer bsl bt ct and inr sr electrolytes ecg sos 2decho Xray chest in series Hrct O2 monitoring Rx inj Remdesivir 5 7 or 11 course as per response Inj Ceftriaxozone or piperacillin+inj tazobactum for pneumonitis Inj dexamethasone Inj lasix Inj enoxiparum or LMWH or clexan as choice Inj insulin as per blood sugar levels Niv 02 or intubation and assisted ventilation by ventilator as per crisis Rest of treatment as defined in earlier stages Remember these are ICMR guidelines Discharge is not before 15days or may extend Keep relatives informed about condition on telephones
BASIC PRINCIPLES OF 3 IMPORTANT THINGS 1 SOCIAL DISTANCING 2 WEARING FACIAL MADK 3 HAND SANISITATSTION 4 AVIOD OVERCROWINDING 5 AVIOD ATTENDING PARTIES AS MUCH AS ONE CAN 6 AVIOD UN NECESSARY TEAVELLING 7 AVIOD GOING TO STADIUMS FOR WATCHING MATCHES 8 IN CASE OF DRY COUGH FEVER DO COVID TEST 9 BE CAREFUL IF OXYGEN SATURATION DIPS DOWN GO FOR VACCINATION
Cases that would interest you
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2 years young child with h/o fever and rash on hands, feet with ulcers in mouth. Diagnosis and treatment??
Dr. Vishal Gupta3 Likes24 Answers - Login to View the image
Age 36 Married Wart Complaint 5-6 months Diagnosis and Treatment plz @Dr. Parveen Yograj
Dr. Irfan Khan4 Likes22 Answers - Login to View the image
One year male infant this lesions after fever and third generation cephalosporins for D. TTT many thanks
Dr. Abd Elnasser Badawy3 Likes37 Answers - Login to View the image
2mnths female child with this type of skin lesions for 4-5days. ( lesions localized foot, no other body parts). No ass. Fever. Plz suggest dx and Rx.?
Dr. Paresh Chandra Kisku2 Likes35 Answers - Login to View the image
A 36-year-old female presented with a 3-day history of fever, arthralgias, myalgias, and headache. She denied any recent travel but has h/o rat bite Physical examination revealed swollen and tender joints as well as a maculopapular rash on the feet and hands, with pustule formation. What is the most likely diagnosis for this condition and treatment options please?
Dr. Narendra Kumar4 Likes16 Answers