Any docs/nurses on here who treat covid patients? Got questions

This resident is on ** 7.5L ** at one point ... O2 is finally at like 90-95; at one point it was 80 (nc came off while resident was sleeping according to nurses notes); they changed the tubing to high flow, did cpt, then laid her prone and it came back up.

I was mistaken -- zithromax was given 250 qd x 5 days starting on the 4 ... the hydroxy was started on the 9 so they did overlap (maybe if the pharmacy got it there when they should have).

I'm working from home with EMR so I'm keeping up with the residents condition. Worried about her for sure.

1) yes they changed to high flow tubing

3) They started the zithro I guess when the chest xray showed "something" while they waited to get flu/covid results back. By the time covid results came back the z pack was on the last day and the hydroxy was just starting.

And by kick in I meant how long do they take to start working. Yeah, different population -- glad that they can manage her thus far there. And she's not on zinc.

70 ... and from what I gather is still full code and family members x3 haven't been able to be reached to discuss code status. Imagine coding someone less than 100#. I'm so sad about this situation. I'm praying that she pulls through.

Sadly, htn, copd, a current pressure ulcer -- mental issues as well. Sweet resident that I've worked with for 10 years.

Thanks for the information. Time will tell.

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70yo

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So when you say resident, you don’t mean an MD?

I didn’t realize they would run HF at nursing homes...

But I guess some actually have vent pt’s..

HIgh flows are awesome...Especially for pt’s with nasal breakdown from bipaps...


I had to re-tube a pt today when he crapped out on Bipap, 20/10, 100%, sats bottomed out in the low 80s, and as usual at the end of the shift...

Note just says tube was changed to high flow tubing .. and I was wrong; she was at 9L at some point today.

As far as I've ever seen they just have the O2 machines (relatively big things) that they plug into the wall -- we've got some people on cpaps for their apnea but unless they've brought in some equipment since I was in the facility last (which it's been a month) they don't have more than that.

I mean if she needed a vent they'd have to send her out.

If a patient is not improved after day 5 of plaquenil we just continue similar symptomatic treatment. Supplemental oxygen and treatment of the fever. Nothing else we can do.

It is hard to say when specificaly the plaquenil helps. I find that if you will need to be intubated it seems as though you will need to be intubated no matter what. It is hard to predict. Sometimes people come in with minimal oxygen requirements and then continue to increase, while some come in with higher requirements and then they improve.