COVID-19 Aftercare Inst NARH

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Home Care Instructions for Patients with Mild Respiratory Infection

Most people with respiratory infections like colds, the flu, and Coronavirus Disease (COVID-19) will have mild illness and can get better with appropriate home care and without the need to see a provider. People who are elderly, pregnant, or have a weak immune system, or other medical problem are at higher risk of more serious illness or complications. It is recommended that they carefully monitor their symptoms closely and seek medical care early if their symptoms get worse.

TREATMENT AND MEDICAL CARE
Treatment
There is no specific treatment for most viruses including those that that cause the common cold and those that cause COVID-19. Sometimes there is treatment for the viruses that cause influenza if given early. Antibiotics treat infections caused by bacteria, but they do not work against viruses.
Most people recover on their own from these viruses, including COVID-19. Here are steps that you can take to help you get better:
• Rest
• Drink plenty of fluids
• Take over-the-counter cold and flu medications to reduce fever and pain. Follow the instructions on the package, unless your doctor gave you instructions. Note that these medicines do not “cure” the illness and therefore do not stop you from spreading germs.
• Children should not be given medication that contains aspirin (acetylsalicylic acid) because it can cause a rare but serious illness called Reye’s syndrome. Medicines without aspirin include acetaminophen (Tylenol®) and ibuprofen (Advil®, Motrin®). Children younger than age 2 should not be given any over-the-counter cold medications without first speaking with a doctor.

Seeking Medical Care
You should seek medical care if you are not getting better within a week, or if your symptoms get worse. If you are elderly, pregnant, have a weak immune system, or other medical problems, call your doctor right away.
It is best to call ahead of time to discuss your symptoms, if possible. This may allow you to receive the advice you need by phone. By avoiding a visit to a healthcare facility, you protect yourself from getting a new infection and protect others from catching an infection from you. If you do visit a healthcare facility, put on a mask to protect other patients and staff.
It is recommended that you seek medical care for serious symptoms, such as:
People with potentially life-threatening symptoms should call 911. If possible, put on a facemask before emergency medical services arrive.
PROTECTING OTHERS
Follow the steps below to help prevent the disease from spreading to people in your home and community.
Stay home when you are sick
• Stay home – do not go to work, school, or public areas.
• Stay home for at least 24 hours after your symptoms have gone away without the use of fever-reducing medicines.
• If you must leave home while you are sick, try to avoid using public transportation, ride-shares, and taxis. Wear a mask if possible.
Separate yourself from other people and animals in your home
• Stay in a specific room and away from other people in your home as much as possible.
• Use a separate bathroom, if available.
• Try to stay at least 6 feet from others.
• Do not handle pets or other animals while you are sick.
Cover your coughs and sneezes
• Cover your mouth and nose with a tissue when you cough or sneeze. Throw used tissues in a lined trash can; immediately wash your hands.
Avoid sharing personal household items
• Do not share dishes, drinking glasses, cups, eating utensils, towels, or bedding with other people or pets in your home. Wash them thoroughly with soap and water after use.
Clean your hands often
• Wash your hands often with soap and water for at least 20 seconds. If soap and water are not available, clean your hands with an alcohol-based hand sanitizer that contains at least 60% alcohol, covering all surfaces of your hands and rubbing them together until they feel dry. Use soap and water if your hands are visibly dirty.
Clean all “high-touch” surfaces every day
• High touch surfaces include counters, tabletops, doorknobs, bathroom fixtures, toilets, phones, keyboards, tablets, and bedside tables. Also, clean any surfaces that may have body fluids on them. Use a household cleaning spray or wipe, according to the product label instructions.

Updated 3/14/20

COVID MDM – Test/No Test (3/20)

MDM

This patient presents with symptoms concerning for viral syndrome including flu and SARS-nCoV-2019.

WELL-APPEARING/DISCHARGE

YES: Patient meets criteria to test for COVID-19. Doubt PNA, sepsis, other serious bacterial infection or acute emergent condition. Is otherwise well-appearing with acceptable vitals, a reassuring physical exam, and is safe to discharge home following NP swab. Will add to follow-up list to call with results after. Will provide strict return precautions and instructions on self-isolation/quarantine and anticipatory guidance.

NO: Patient does NOT meet our current criteria to test for COVID-19, although coronavirus infection is certainly on the differential. Doubt PNA, sepsis, other serious bacterial infection or acute emergent condition. Is otherwise well-appearing with acceptable vitals, a reassuring physical exam, and lacks serious medical comorbidities that would require admission. Patient is nontoxic-appearing and although symptomatic, otherwise safe to go home. Will provide strict return precautions and instructions on self-isolation/quarantine and anticipatory guidance.

ADMITTING (testing)

Patient presentation suspicious for COVID-19 infection. Patient requires admission for their symptoms given ***_. Differential diagnosis includes other viral causes of LRTI, pneumonia, less likely PE, PTX, primary cardiovascular causes, bacterial sepsis, or other severe metabolic/ischemic derangements. Will swab for SARS-nCoV-19, place in enhanced precautions, admit to medicine.