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Covid 19 symptoms and recurrent fever
Hi, my mother is having recurrent fever for the last 4 days.She is feeling very weak.SpO2 level is mostly 98 but it has gone down to 95 recently once. She is having dry cough and sore throat.She does not have any breathing problems but feeling little heaviness in chest.RT PCR Test has been done.Report will come tomorrow.Please suggest the needful steps to be followed now.
Answers (11)
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Most important: Go foor her HRCT SCAN & BLOOD TESTS CBC CRP DDIMER AS EARLY AS POSSIBLE.
After report of HRCT and BLOOD TESTS start medicines as per reports.
If any query ask me anytime. Consult Online on Practo.
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First of all follow up with awake proning for atleast 2 hrs
And follow up with medicines
Next Steps
Consultation
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In your case, home isolation and routine care can be taken.
Kindly follow the below guidelines:
1. Physical distancing of atleast 6 meters. Preferably the sick individual should have a separate room.
2. indoor mask use. Preferably a double mask (surgical mask on top of a N95 mask) should be used.
3. strict hand hygiene. Hands should be thoroughly washed with soap and water for at least 30 seconds. An alcohol-based hand sanitizer that contains at least 70% alcohol can be used.
Symptomatic management:
1. Hydration. Patient should have at least 4 to 6 glasses of water everyday.
2. Anti-pyretics can be given under the supervision of a healthcare professional.
3. Multivitamins and Zinc can be given.
4. Stay in contact with treating physician.
5. Monitor temperature and oxygen saturation (by applying a SpO2 probe to fingers).
Seek immediate medical attention if:
1. Difficulty in breathing
2. High grade fever/severe cough, particularly if lasting for more than five days
3. Consider hospital admission if:
1. Age more than 60 years.
2. Cardiovascular disease, hypertension.
3. Any lung disease
4. Any kidney/liver disease
5. History of stroke or any brain disease.
6. Obesity.
Health Tips
Follow COVID appropriate behavior.
1. Wash your hands often with soap and water for at least 20 seconds. Use an alcohol-based hand sanitizer that contains at least 70% alcohol if soap and water are not available.
2. Avoid touching your eyes, nose, and mouth with unwashed hands
3. Avoid close contact with people who are sick.
4. Cover your cough or sneeze with a tissue, then throw the tissue in the trash.
5. Clean and disinfect frequently touched objects and surfaces. Maintain at least 1 meter (3 feet) distance between yourself and other people, particularly those who are coughing, sneezing and have a fever.
6. Wear cloth face coverings such as a mask in public settings, especially where other social distancing measures are difficult to maintain.
7. Ensure regular hand washing with soap and potable water after touching animals and animal products
8. Avoid touching eyes, nose or mouth with hands; Avoid contact with sick animals or spoiled animal products.
9. Strictly avoid any contact with other animals in the market (e.g., stray cats and dogs, rodents, birds, bats).
10. Avoid contact with potentially contaminated animal waste or fluids on the soil or structures of shops and market facilities.
11. Avoid consumption of raw or undercooked animal products: Handle raw meat, milk or animal organs with care, to avoid cross-contamination with uncooked foods, as per good food safety practices.
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dont worry ..... spo2 measure every 6 hrly .... n aftr 5min walk.... single value not give you more information....
Next Steps
if fever come take pcm whenever fever come
if dry cough take tus q dx 8ml tds
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Most probably she is having covid
Have u started any treatment for ur mother?
Need detailed history
For more quries contact me on practo.
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Consult doctor after reports
Next Steps
Just Monitor daily 2-3 things Till then
1) respiratory rate (how many breaths per minute)
It should be less than RR
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Start the treatment as per covid.
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Dr. Dineshvarma
Diabetologist
7 yrs exp
Kannur
Imp to start medication asap.. Need HRCT..
Next Steps
for further queries, evaluation.and treatment contact 9778*14*66*32 for paid consultation
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Dr. Kalyani Rathod
General Physician
2 yrs exp
Yavatmal
Symptoms are suggestive of COVID infection.
Wait till reports come.
Meanwhile do a 6 min walk test at home.
Check the saturation before and after the walk test. Oxygen saturation less than 94% should need a medical advice.
Meanwhile you can give the patient,
T.Paracetamol (500mg) twice daily if fever persists.
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Dr. Aman Gangwani
General Physician
5 yrs exp
Kanpur
The symptoms are suggestive of COVID
Next Steps
Kindly follow protocol and consult to begin with treatment
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Dr. Boddepalli Sireesha
General Physician
8 yrs exp
Srikakulam
Need proper history
Next Steps
consult me for further guidance
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