CMAAO IMA HCFI CORONA MYTH BUSTER : Series 6

India

healthysoch

Dr K K Aggarwal

President CMAAO, HCFI and Past National President CMAAO

New Delhi, March 26, 2020 :

D Dimer is the only lab criteria for severity : No

Absolute lymphocytic count < 800

D Dimer > 100

CPK > 2X ULN

CPR > 100

LDH > 245

Trop I rising

Ferritin > 300 

There are no standard Lab guidelines :

 Daily tests: CBC witnh differential lymphocytes, CMP, CPK

Risk stratification Q2-3 DAY PRN ( as needed): D Dimer, Feritn, ESR, CRP

Once: HBV, HCV, HIV, Influenza A/B, RSV, Resp Bio fire profiel, Tracheal aspitate if intubaued

COVID 19

All pneumonia pateiunts need admission :

No. temperature > 38

Respiratory rate > 20

Heart rate > 100 with new confusion

Oxygen saturation < 94%

There are no clear cut red flags for COVID : No

Severe shortness of breath at rest

Difficulty in breathing

Pain or pressure in the chest’

Cold, clammy, pale and mottled skin
New confusion

Becoming difficult to rouse

Blue lips or face

Little or no urine output

Coughing up blood

Neck stiffness

Non blanching rash

Headache rule out COVID 19 :  It is present in 14% cases.

Fever with chills means flu :  Chills are present in 12% cases

Cough with sputum rules out COVID 19 : No, sputum may be present in 34% cases

Nasal congestion is common in COVID :  No, It is present in only 5% of cases

 Hydroxychloroquine can cause QT prolongation : No, it’s the combination with Azithromycin. [Input Dr Monica Vasudeva]

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