Situation of Coronavirus in Pakistan is getting out of control. Top positioned health professionals may have knowledge and training of treating a Covid-19 patients similar stories and repeated incidents at medical facilities paint an alarming picture.
Many families are preferring to keep their loved-ones under their own care, at home. This situation is not ideal but alternate has been proving worst.
Many known Hospitals are also excusing from taking more patients in. They are full, or short of necessary facilities required to take care of a coronavirus patient.
We come across this guide, helpful to anyone who decided to take care of their family member at home, and avoids becoming infected with COVID-19.
1- First thing is CALM DOWN. one step at a time. Okay? Also, reassure them so they are calm as well. otherwise, their oxygen-need might increase.
Know where to get these items:
- The disinfectant solution in spray bottles (1 part bleach or Dettol + 10 parts water )
- Surgical Masks
- Protective aprons
- Separate utensils
- Hand sanitizers
- Oxygen cylinder
- Nasal cannula
- Non-rebreather mask
- Pulse Oximeter
2- PROTECT YOURSELF.
Take precautions. Wear a 3 ply surgical mask or an N95 and face shield when near patient. Otherwise, keep the distance. Have a separate room. Separate bathroom.
–Leave food outside in disposable plates and spoon. Or normal dishes if they can wash himself.
— use hand sanitizer before you enter and after you leave that room. Then Wash hands with soap thoroughly too after every contact.
–apply disinfectant spray to all the handles and knobs of the door.
— wash all clothes with standard detergent and warm watter
3- A SINGLE POSITIVE PCR TEST CONFIRMS COVID.NO NEED TO RECHECK!
FOLLOW STRICT PRECAUTIONS FOR ATLEAST TWO WEEKS NO MATTER WHAT SOMEONE SAYS!
I see many people making the mistake of redoing the test just to be sure. Its like finding a needle in A haystack and then throwing it back in and trying to find it again to confirm its presence. You might not find it again!
4- Have the important HISTORY READY.
Days since first symptoms?,
First positive test? Any other diseases.
Shortness of breath, fever, cough, diarhea?
if diabetic,older than 60, obese, hospitalization is preffered.
5- Buy a PULSE OXIMETER. (~rs.2000). It will tell you the heart rate and oxygen levels in the blood.
Make sure you’re using the oximeter properly.
Recheck on different fingers on different limbs and give it a minute atleast to get a reliable reading.
6- How much is their HEART RATE/PULSE on the pulse oximeter? If its less than 100 probably then they are pretty okay …
7- Are they feeling SHORT OF BREATH?
Count the number of breaths taken every minute. normal people have a rate of less than 20. if they are breathing at 25-30/min or more. They need HOSPITALIZATION.
8- PRONING helps. it is to for 3 hours lie down on your stomach and breath deeply. every 8 hours.
9- have the contact info or details of someone who can provide you with an OXYGEN CYLINDER even if not needed at the moment.
Check if their oxygen levels labelled as ‘SpO2’ on pulse oximeter is below 92%, then recheck on a different finger. Confirm. If actually less than 92. They need oxygen.
So get an oxygen cylinder for home with high flow nasal cannula as a backup in case you dont find a place at a hospital.
Also buy a ‘NON REBREATHER OXYGEN MASK’ for higher oxygen needs.
10-HOW TO GIVE OXYGEN?
Keep them on 2-6L/min (theres a gauge on it that will tell you that) of oxygen using a nasal cannula. just enough to keep their oxygen saturation ABOVE 94%.
Although not needed here, but if at maximum oxygen pressure oxygen saturation is NOT maintained
…then HOSPITALIZATION IS MUST..
..but use a ‘Non Rebreather Mask’ instead of nasal cannula for maximum oxygen delivery in the meantime.
11- You need MONITORING. an experts help.
BEFORE talking to a doctor or calling a hospital for beds —>
Must CHECK heart rate, breathing rate, oxygen level.
And then –> Ask to speak to a doctor if possible with this information ready.
Find a doctor who can assist while at home. You can send this doctor videos of them for visual assessment.
Shifa international is offering a system of home monitoring where nurses will visit twice a day. If you’re in islamabad you can look into it.
–2 tabs of panadol for fever 6 hourly.
— one tab.motilium upto thrice a day only if vomiting
–.Mucolyter sachet three times a day in a glass of water.
–Siroline Syp thrice a day if cough
–CAC-1000 once a day
–A multivitamin like surbex Z once a day.
Make sure they EAT AND DRINK WELL.
Needs more fluids if severe diarhea and a professional assessment.
13- If all above is already done, find CONTACT NUMBERS of people who can provide the following JUST AS A BACKUP TO SAVE TIME LATER in case they need ICU care:
–i. COVID recovered person of someone with their blood group for plasma
–ii. Injections of TOCILIZUMAB (~Rs. 60,000)
–iii. Injections of REMDESIVIR.(~(Rs.220,000)
14- Just a heads up. Keep your finances ready. MONEY in hand. Because outside of Govt hospitals, ICU care for an oxygen dependent patient costs atleast 50K RUPPEES PER DAY.
If you dont have a 5-7lac of an Emergency fund, take extra precautions and reduce your spending.
Share this with anyone in need of some guidance with home care.