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COVID causes
infection with SARS-CoV-2,
COVID structure
coronaviruses are enveloped single-stranded RNA viruses. Spherical with lipid-containing spike protein
how is covid transmitted
through respiratory droplets and contaminated surfaces
risk factors for covid
older age, chronic disease (diabetes, hypertension, cardiovascular disease), obesity, certain genetic/ socioeconomic factors
viral entry covid
sars-cov -2 binds spike protein
binds to ace 2 protein, abundant on type in alveolar epithelial cells, cells in the heart and vascular endothelium
heart protease TMPRSS2 primes spike protein
enabling membrane fusion and viral entry
once inside the virus releases
RNA and hijacks cell machinery producing viral proteins
infected cells release
cytokines and chemokines, attracting immune cells
cytokine storm
excessive activation leads to a hyper-inflammaatory response
respiratory system
alveolar tissue damage leads to impaired gas exchange
can progress to acute respiratory distress syndrome
cardiovascular system
can trigger myocarditis (inflammation of heart muscle)
inflammation increases cardiac workload
digestive system
ACE2 expression in gut epithelium can lead to GI symptoms
common symptoms covid 19
dry cough, shortness of breath, loss of taste and smell, extreme tiredness/ fatigue, digestive symptoms (stomach pain, nausea), cold like symtpoms
asymptomatic
many individuals can present with no symptoms but still test positive with covid 19 virus
covid 19 MILD
basic cold like symptoms does not affect lungs
covid 19 moderate
signs of infection deep inlungs
covid 19 severe
lungs dont work correctly, indvidual needs oxygen or medical attnetion
covid 19 critical
lungs and breathing system fails and there is damage throughout the body
covid 19 treatments
vaccine, corticosteroids, supportive care, antiviral drugs
vaccine
most effective intervention for preventing severe illness and death
corticosteroids
anti inflammatory medications; reduces body’s immune response and calm inflammation
supportive care
oxygen therapy, fluids & electrolytes, management of symptoms
antiviral drugs
taken during early infection