50 year old female diagnosed with covid 19 pneumonia
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50 year old female came to the opd with the chief complains of fever since 8 days and was tested positive for covid-19 3 days back.
HOPI:-
patient was apparently asymptomatic 8 days back then she developed fever. she had no history of shortness of breath, cough, fatigue, loss of smell or taste. she was tested positive for covid-19 3 days back and was admitted into the hospital. after she got admitted into the hospital she presented with complaints of oxygen saturations fluctuating between 86%-92%.
no h/o of DM, HTN, asthma, CAD,TB or any surgeries.
diet-mixed, appetite -normal, B&B- regular, sleep- adequate.
no h/o of tobacco or alcohol and no h/o of allergies.
Physical examination:-
no signs of pallor, icterus , cyanosis, clubbing, koilonychia or lymphadenopathy.
temp- 98.4F, pulse rate- 101bpm, RR- 20cpm, BP- 110/70mmhg.
CVS examination:-
S1 S2 heard
no murmers heard
CNS examination:-
patient was conscious and alert, oriented to time, place and person
speech - normal
no signs of meningeal irritation
sensory and motor system are normal
Gait - normal
reflexes- intact
Respiratory examination:-
no h/o of dyspnea, wheezing
position of trachea- central.
PROVISIONAL DIAGNOSIS:- COVID-19 pneumonia
INVESTIGATIONS:-
CBP, LDH, LFT, RFT, PLBS, HbA1c, urine for ketones, serum electrolytes, CUE,ABG
TREATMENT GIVEN:
1) head end elevation
2)O2 supplementation if spo2< 95%
3)T. DOLO 650MG
4)T. PANTOP 40MG
5)T.LIMCEE
6)Nebulization DUOLIN and BUDECORT
7)INJ HAI 6ML/HR INFUSION
8)T. OSELTAMAVIR
9)INJ.CLEXANE
10)SYP.CREMAFFIN
11)GRBS monitoring 2hrly
12)BP,PR,SPo2 monitoring
13)BETHADINE mouth gargling diluted with water 4-5 times/day
update:-
