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37. Treatment of 5 Critically Ill Patients With COVID-19 With Convalescent Plasma.
DOI: 10.1001/jama.2020.4783 https://jamanetwork.com/journals/jama/fullarticle/10.1001/jama.2020.4783 III .
The results of tomography of patients with COVID -19 ? low serum potassium should be corrected; > CT features and severity of illness in COVID19.
Diagnosis in cases of suspected infection Yes Yes Expert advice two-time negative result of a laboratory test for the presence of SARS-CoV-2 RNA by PCR with an interval of at least 1 day; With a decrease in the level of albumin - a 10% solution of albumin to 10 ml / kg / day.
For persons in contact with the patient, establish medical supervision.
blood count, biochemical profile, coagulation function + D -dimer, blood gas analysis + lactic acid, (2) {2) Patients with liver failure.
Drugs that are excreted unchanged through the kidneys, such as penicillin and cephalosporins, etc., are preferred. > Scientists have developed an interactive calculator Caseload Cornell COVID C5 for forecasting the dynamics of epidemic indicators as a tool for planning the required health care resources (clinics) under various (soft and hard) situation development scenarios https://hpr.weill.cornell.edu/cornell-covid-caseloadcalculator -c5v (if used, check current R0 estimate for SARS-CoV-2).
Most critically ill patients with COVID -19 respond well to inclined ventilation, with rapid improvement in oxygenation and lung mechanics.
Prone ventilation is recommended as a routine strategy for patients with PaO 2 / FiO 2 25 times per minute in bed; or marked progression on x-ray.
Patients must wear a surgical mask during HFNC treatment . The airflow of HFNC oxygen therapy should start at a low level and gradually increase to 40-60 L/min when PaO 2 / FiO 2 is in the range of 200-300 mmHg so that patients do not feel obvious chest tightness and shortness of breath. An initial flow rate of at least 60 L/min should be administered immediately to patients with obvious respiratory distress.
together with Rospotrebnadzor, ensure the isolation of citizens who, according to the results of laboratory tests, have confirmed the presence of COVID-19, in accordance with medical indications.
21. Home care for patients with