Severe Covid

risk factors

increasing age

male gender

comorbidities

comorbid risk factors include…

cancer

stroke

ckd

chronic lung disease

dm

heart disease

hiv

pregnancy or recent pregnancy

mental health disorders

substance use disorders

current or former smoker

bmi >25

covid precautions

isolation/private room preferred

remote monitoring

designated nurse

proper ppe

“wash your dirty hands”

medications

concomitant meds: ace/arbs, oral/inhaled corticosteroids, statins, nsaids

glucocorticoids (dexamethasone preferred)

tocilizumab

monoclonal bodies

thromboprophylaxis

interventions

frequent assessment

fever control

gi symptoms management

hydration

supplemental O2

manage comorbidites

continue concomitant meds

early intubation eith respiratory distress

minimize aerosol-generating procedures

prone psoition

ecmo (bypass lings to oxygenate body)

monitor for organ dysfunction

s/s for severe covid

dyspnea followed by hypoxemia

respiratory rate >30/min

lung infiltrates >50%

oxygen sat of 94% or less on ra

respiratory failure

septic shock

multiorgan failure

supplemental O2 goal

92-96%

if persistent need for 5-6L, use high flow nc or face mask

assessments

respiratory status/respiratory distress

vitals

blood gases every 1-2 hours/as needed