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patient's symptoms, signs, and findings, such as CBC, C-reactive protein, and procalcitonin, should be closely monitored during treatment.

If a change in the patient's condition is detected, a complete clinical conclusion must be drawn up. If a secondary infection cannot be ruled

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  • , a qualified specimen for testing by smear preparation, culture, nucleic acid, antigen, and antibody is required to identify the infectious agent as early as possible.

    Antibiotics can be used empirically in the following conditions: stronger ??????????????, darker colored sputum, especially yellow purulent sputum; ??increase in body temperature, which is not associated with an exacerbation of the underlying disease; ??marked increase in leukocytes and/or neutrophils; ??procalcitonin ? 0.5 ng/ml; ??exacerbation of the oxygenation index or circulatory disorders that are not caused by a viral infection; and other conditions suspected to be caused by bacterial infections. ??Breathing with chest expansion combined with shoulder expansion: Increased pulmonary ventilation. When you take a deep slow breath, you expand your chest and shoulders as you inhale; and move your chest and shoulders back as you exhale.

    Due to the special pathological factors of viral pneumonia, holding the breath for a long time should be avoided so as not to increase the load on the respiratory function and heart, as well as oxygen consumption.

    Some patients with COVID -19 are at risk of secondary fungal infections due to weakened cellular immunity caused by viral infections, the use of glucocorticoids and/or broad-spectrum antibiotics.

    Microbiological testing of respiratory secretions should be performed, such as swab preparation and culture for critically ill patients; and timely check D -glucose ( G -test) and galactomannan ( GM -test) of blood or bronchoalveolar lavage fluid for suspicious patients. • Decree of the President of

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    Titrate flow rate, fraction of inspired oxygen ( FiO 2 ), and water temperature based on respiratory requirements and patient tolerance. 02/21/2020 Doi: 10.1001/jama.2020.2565 PubMedGoogle Scholar article.

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