Covid Treatment

MILD

Symptoms:

• Low-grade fever (not more than 100 degrees Fahrenheit)
• Dry cough
• Fatigue
• Headache
• New loss of taste or smell
• Gastrointestinal upset, including vomiting and diarrhea
• Itchy, painful patches on skin (especially in young people). These patches often show up on the toes and have been referred to as “COVID toes.”

Treatment:

Most mildly ill patients can be managed in an ambulatory setting or at home through telemedicine or telephone visits

• No imaging or specific laboratory evaluations are routinely indicated in otherwise healthy patients with mild COVID-19.
• Older patients and those who are at higher risk of disease progression should be monitored closely until clinical recovery is achieved.

For Speedy Recovery:

• Take plenty of rest
• Practice pranayama and do brisk walk around the room
• Physical Distancing, use mask, strict hand hygiene

What To Eat:

• Take protien rich diet and fruits
• Drink milk with turmeric in night
• Have walnut and fig (anjeer) and 2 eggs
• Drink enough water everyday
• Eat moderate amount of fat and oil
• Eat less salt and sugar

Recommended Medicines:

Name of the medicine	Type of the medicine	Quantity	Instruction for use
Tab Azithral	Antibiotics	7	Once day after meal in afternoon
Tab Ivermectin	Antihelmintics	3	Once a day for 3 days(not to be used by pregnant and lactating mother)
Tab Hydroxychloroquinone	Antirheumatic	4	Once a day for 4 days (only when advised)
Budesonide Inhalation	corticosteroids	1	800 mcg twice a day for 5 days if symptoms (fever/cough) are persistent beyond 5 days of disease onset.
Tab Celin	Vitamin C	14	1 tab daily after breakfast
Tab Lumia 60k	Vitamin D	4	1 CAP per week
Tab Zincovit	Multivitamin	14	1 tab daily after breakfast
Dolo 650	Antipyretic	6	1 tab after meal if fever is there
Betadin Gargle	Gargles	1	3 times a day gargle with hot water
Bespicold cough syrup	For dry cough	1	3 times a day if cough is present
Tab PAN 40	Acidity	7	1 tab daily in morning on empty stomach if acidity is present
Tab Montek RC	Anti-allergic	5	1 tab after dinner

*Please do not take these medicines without proper doctor's consultation.

• Steam Inhalation - 3 TIMES A DAY
• Pulse Oximeter – Normal oxygen saturation level of blood in a healthy individual is 95% to 100%. Check 3 times in day . If having trouble of shortness of breath. Seek immediate medical attention if high grade fever/ severe cough for more than 5 days

Moderate

Symptoms:

• Fever of about 101-102 degrees Fahrenheit
• Chills, with repeated shaking
• Deep cough
• Fatigue and body aches
• Muscle pain
• General feeling of being unwell
• Who have an oxygen saturation level less than or equal to 94% on room air.

Recommended Medicines:

Name of the medicine	Type of the medicine	Quantity	Instruction for use
Giving Oxygen support	OXYGEN SUPPORT	92-96 % (in patient with 88-92% with COPD)	Preferred Device-non-rebreathing face mask.
Methylpredinisolone	Anti inflammatory or immunomodulatory	10	0.5 to 1 mg/kg in 2 dividened doses for 5-10 days
Enoxaparin	ANTI COAGULATION		0.5mg/kg per day SC
Tab Azithral	Antibiotics	7	Once day after meal in afternoon
Tab Ivermectin	Antihelmintics	3	Once a day for 3 days(not to be used by pregnant and lactating mother)
Tab Hydroxychloroquinone	Antirheumatic	4	Once a day for 4 days (only when advised)
Budesonide Inhalation	corticosteroids	1	800 mcg twice a day for 5 days if symptoms (fever/cough) are persistent beyond 5 days of disease onset.
Tab Celin	Vitamin C	14	1 tab daily after breakfast
Tab Lumia 60k	Vitamin D	4	1 CAP per week
Tab Zincovit	Multivitamin	14	1 tab daily after breakfast
Dolo 650	Antipyretic	6	1 tab after meal if fever is there
Betadin Gargle	Gargles	1	3 times a day gargle with hot water
Bespicold cough syrup	For dry cough	1	3 times a day if cough is present
Tab PAN 40	Acidity	7	1 tab daily in morning on empty stomach if acidity is present
Tab Montek RC	Anti-allergic	5	1 tab after dinner

*Please do not take these medicines without proper doctor's consultation.

Treatment:

• Giving Oxygen support - Target saturation oxygen required level :- 92-96 % (in patient with 88-92% with COPD)
• Steam Inhalation - 3 TIMES A DAY
• Pulse Oximeter – Normal oxygen saturation level of blood in a healthy individual is 95% to 100%. Check 3 times in day . If having trouble of shortness of breath. Seek immediate medical attention if high grade fever/ severe cough for more than 5 days

For Speedy Recovery

• Take plenty of rest
• Practice pranayama and do brisk walk around the room
• Physical Distancing, use mask, strict hand hygiene

What To Eat

• Take protien rich diet and fruits
• Drink milk with turmeric in night
• Have walnut and fig (anjeer) and 2 eggs
• Drink enough water everyday
• Eat moderate amount of fat and oil
• Eat less salt and sugar

Keep a Tab on

• Controlled Breathing, Hemodynamic instability.,Change in oxygen requirement,
• Serial CXR, HRCT chest to be done only if there is worsening.
• Lab Monitoring -

CRP and D-Dimer	CBC	KFT	LFT	IL-6 levels
48 to 72 hrly	24 TO 48 hrly	24 TO 48 hrly	24 TO 48 hrly	to be done if deterioting

SEVERE

Symptoms:- All the common symptoms mentioned earlier along with:

• Shortness of breath, even when you’re not exerting yourself
• Chest discomfort
• Unresponsiveness
• Trouble staying awake
• Eye problems, such as watery eyes or swollen eyelids
• Bluish face/lips (a sign you’re not getting enough oxygen)
• Saturation oxygen level less than 94% on room air ; Respiratory frequency less than 30 breaths/min.
• Breathing issues are a medical emergency. Call your healthcare provider or State Govt. Helpline No. 0141-2225624/2225000, Toll Free No: 104/108 (Rajasthan) for immediate guidance. COVID-19 can lead to pneumonia and lung scarring.

Recommended Medicines:

Name of the medicine	Type of the medicine	Quantity	Instruction for use
Giving Oxygen support	OXYGEN SUPPORT	92-96 % (in patient with 88-92% with COPD)	Preferred Device-NIV/ HFNC.
Methylpredinisolone	Anti inflammatory or immunomodulatory	10	0.5 to 1 mg/kg in 2 dividened doses for 5-10 days
Enoxaparin	ANTI COAGULATION		0.5mg/kg per day SC

*Please do not take these medicines without proper doctor's consultation.

Supportive Measures:

• Maintain euvolemia (if available, use dyanmic measures for assessing fluid responsiveness)

Diagnostic Monitoring:

• Serial CXR, HRCT chest to be done only if there is worsening.
• Lab Monitoring -

CRP and D - Dimer	CBC	KFT	LFT	IL-6 levels
24 to 48 hrly	Daily	Daily	Daily	To be done if deterioting

EMERGENCY USE AUTHORIZATION

REMDESIVIR

• Only can be considered with moderate to severe patient
• With no renal or hepatic dysfunction
• Who are within 10 days of onset of symptoms
• Not to be used who are not on oxygen support or in home settings

TOCILIZUMAB

• For only severe patients
• Raised inflammatory markers
• Non improving despite use of steroids
• No active infection

CONVALESCENT PLASMA

• Early or moderate disease
• Availabilty of high donor plasma

Note: This data is collected from various sources. In case of emergency please reach out to your nearest hospital.