Diferencia entre revisiones de «COVID-19»
| Línea 27: | Línea 27: | ||
==Management== | ==Management== | ||
*Supportive care is mainstay of therapy | ===Airway Managment=== | ||
Due to the risk of viral spread via droplets, early intubation is preferred over noninvasive ventilation | |||
===Mild Cases=== | |||
*Supportive care is mainstay of therapy for patients with mild viral symptoms | |||
*Most patients will do well enough for discharge home | *Most patients will do well enough for discharge home | ||
*Discuss with Dept of Public Health, who will guide testing and, if discharging, help patient remain in isolation at home | *Discuss with Dept of Public Health, who will guide testing and, if discharging, help patient remain in isolation at home | ||
Revisión del 01:35 15 mar 2020
Background
- Also known as "2019 Novel Coronavirus"
- First detected in Wuhan, China
Clinical Features
Broad Testing Recommendations
The CDC has expanded testing beyond the initial travel to china recommendations[1]
- Test any person who has fever or respiratory illness AND had close contact with a known COVID-19 patient
- Test any person who has fever or respiratory illness AND a history of travel to CDC-classified high risk areas or areas with recent significant community spread
- Test any person who has severe respiratory illness AND is being admitted to the hospital
- Test any hospitalized person who has respiratory illness AND no alternative diagnosis
- Consider testing any person who has respiratory illness AND lives in a residential facility such as a nursing home or recently returned from a cruise
Differential Diagnosis
PPE
The video below indicates the proper order for donning and doffing PPE {{#widget:YouTube|id=exV5hEG62CY}}
Evaluation
- BIOFIRE RESP PANEL Corona Virus assay does NOT detect this subtype - DO NOT USE
Management
Airway Managment
Due to the risk of viral spread via droplets, early intubation is preferred over noninvasive ventilation
Mild Cases
- Supportive care is mainstay of therapy for patients with mild viral symptoms
- Most patients will do well enough for discharge home
- Discuss with Dept of Public Health, who will guide testing and, if discharging, help patient remain in isolation at home
Disposition
- Usually home, but decision needs to be made in conjunction with the local Public Health Dept
- If admitting, needs to be placed in negative pressure isolation room with airborne and droplet precautions
See Also
External Links
References
- ↑ Criteria to Guide Evaluation and Laboratory Testing for COVID-19 https://www.cdc.gov/coronavirus/2019-nCoV/hcp/clinical-criteria.html
