Today hospitals across the country are facing a lack of hospital beds, oxygen and ventilators. In this slide, I will try to explain the home treatment of Covid-19 stepwise in the worst case scenario if you can't get a hospital bed or a doctor to consult.

1. COVID-19 HOME
TREATMENT
For Symptomatic and Severely ill patients
Prepared by - Rohan Jagdale | pharma field |
rohanjagdale235@gmail.com

2. Introduction
● Today hospitals across the country are facing a lack of
hospital beds, oxygen & ventilators.
● So you have to be prepared for this in worst case scenario
that if someone in your family or your friends get
COVID-19, the chances are that they will not get a hospital
bed.
● In such cases, you will have to keep them at home and
treat them.
● In this slide, I will try to explain the home treatment of
COVID-19 step by step in the worst case scenario if you
can't get a hospital bed or doctor to consult.

3. Disclaimer
● Although this information is up to date with the best of
current scientific knowledge, apply this in your home at
your own risk.
● This slide in good faith to save people's lives in the worst
case scenario and I bear no personal responsibility if
something goes wrong.

4. Contents
❖ Patient isolation
❖ Caregiver Precautions
❖ Medical Devices
❖ Covid Monitoring
❖ The medicines and steroids patients should get
❖ Prone positioning and leg movement
❖ Measuring oxygen saturation
❖ Maintaining oxygen flow rate
❖ Useless medicines /steroids
❖ Doctor's initial assessment
❖ Truth about Vaccination

5. Protecting yourself while caring
for COVID-19 patient.

6. Wash hands frequently
Frequently wash your hands with soap and water for at least
20 seconds, especially after being in close contact or in the
same room as the sick person. If soap and water aren't
available, use a hand sanitizer that contains at least 60%
alcohol. Avoid touching your eyes, nose and mouth.

7. Wear gloves
Use gloves when cleaning and disinfecting or
providing care to COVID-19 patient.

8. Wear a face mask
If you need to be in the same room with the person who
is ill and he or she isn't able to wear a face mask, wear a
face mask. Stay at least 6 feet (2 meters) away from the
ill person. Don't touch or handle your mask while you
are using it. If your mask gets wet or dirty, replace it
with a clean, dry mask. Throw away the used mask and
wash your hands.

9. The caregiver must wear a mask all the
time. They should ensure that they have a
pair of disposable gloves on while handling
the utensils or laundry of the patient. The
caregiver must maintain a physical
distance of at least six feet from the
patient and must enter the room if
necessary.

10. Avoid direct contact with the sick person's
bodily fluids.
Wear disposable gloves and a face mask when
providing oral and respiratory care and when handling
stool, urine or other waste. Wash your hands before
and after removing your gloves and mask. Don't reuse
your mask or gloves.

11. Other Necessary things : Garbage disposal bags, separate toilet
for patient

12. Home treatment is applicable to those households
that have a provision of a separate room and a
dedicated bathroom for the COVID-19 patient,
away from others. The patient is required to stay
in isolation for 17 days which includes 10 days of
treatment and 7 days of post-COVID quarantine to
monitor the symptoms before letting the patient
come out.

13. Droplet precautions
Droplet precautions are used to prevent contact with mucus and
other secretions from the nose and sinuses, throat, airways, and
lungs.
When a person talks, sneezes, or coughs, droplets that contain
germs can travel about 3 feet (90 centimeters).
Illnesses that require droplet precautions include influenza (flu),
pertussis (whooping cough), mumps, and respiratory illnesses,
such as those caused by coronavirus infections.
Anyone who goes into the room should wear a surgical mask.

14. Good Ventilation
With good ventilation, the concentration of virus
particles in the air will be lower and they will leave
your home faster than with poor ventilation.
Open windows, ceiling fan, exhaust fan, portable air
cleaner

16. Monitoring Devices :
1. Pulse Oximeter
2. Thermometer

17. 1. Pulse Oximeter
There is no need to panic
and buy pulse oximeter for
home use.
pulse oximeter is
recommended for the early
detection of ‘COVID
Pneumonia’
A pulse oximeter indicate
issues with blood oxygen
levels

18. 2. Thermometer
A normal temperature ranges from 97
degrees Fahrenheit (F) to 100.4 degrees F. A
fever is a temperature of 100.4 degrees F or
higher on a digital thermometer.

19. Remember to wipe pulse oximeter
and thermometer between use for
accurate readings

20. Give inhaled steroid (budesonide) to patient
● Inhaled budesonide (Pulmicort), commonly used in
asthma, helped COVID-19 outpatients at extra risk for
severe illness recover more quickly
● Budesonide is cheap and widely available, with
extensive clinical experience and safety data,
● DOSE OF 800MCG TWICE A DAY THROUGH THE
SPACER
● Also maintain Hydration of patient all the time.

21. The spacer
Give dose of 800MCG twice a day
through the spacer

22. Covid Monitoring

23. 1. Pulse
2. Oxygen Saturation
3. Temperature
Measure these 3 things at every
4-6 hours

24. ● Measure Oxygen Saturation first while
sitting and then after 1 min exercise(sit and
stand for 1 minute)
● Check temperature every 6 hours for fever
● If patient has fever then give Paracetamol
dose every 6-8 hours depending upon
fever.
● Please insure patient is hydrated all day

25. ● If saturation > 94%
- Continue to monitor, no need for hospitalization
● If saturation is between 92 to 94 %
Continue to monitor oxygen saturation every 4 hours at rest
only.
▪ If saturation < 92%
If hospital bed available the patient can be moved & of not
available then continue the given procedure and try doctor's or
nurse online assessment.

26. The medicines & steroids that patient should get are
these :-
❏ Dexamethasone 6MG/Day or equivalent steroid
❏ Prednisone 40 MG
❏ Methylprednisolone 30 MG
❏ Hydrocortisone 150MG
Any one of these can be administered and it dose not matter the
steroid is prepared.
Steroid preparation does not make a difference

28. Recently approved :Zydus’s antiviral drug Virafin
● The antiviral drug will now be made available for use in
hospitals by prescription.
● The antiviral drug, can control respiratory distress and failure.
● The drug ensures faster viral clearance and has several add-on
advantages compared to other antiviral agents,”
● A single dose ‘subcutaneous regimen’ (injected under the skin)
of the drug is expected to make the treatment of Covid-19 more
convenient for patients.
● Virafin is a pegylated interferon alpha-2b(PegIFN), which when
subcutaneously injected to the patient in the early stages of
infection, results in their faster recovery.

29. Prone position
At night when patient goes to sleep, ask
them to sleep in the prone position

30. ● prone positioning
improved oxygen
saturations
● prone positioning may
assist in avoiding
intubation
● Prone positioning in
these patients improves
oxygenation and
reduces mortality
compared to patients
remaining supine.

31. Do passive leg movements of patient so that their blood circulation
remains good

32. Try to arrange Oxygen and nasal
cannula
Nasal cannula only upto 2 liters.
After that mask is required

33. Maintain oxygen flow rate
Start at low & scale upto 6 liters per
min. if required. As long as oxygen
saturation of patient remain above
92%
When oxygen saturation in the patient
would increase, they would not feel
breathlessness and their respiratory
rate i. e. No.of times they're breathing
per min would go 24per min., you can
say patient has started improving.

34. Indication of improvement
● Respiratory rate < 24/ min.
● Oxygen Saturation > 92% to 96 %
● Patient does not feel breathlessness

35. If oxygen saturation dips below 90%
● If hospital bed is available, patient can be moved
● If bed is not available continue the same treatment
at home
● Same dosage of drugs as mentioned
● Oxygen flow rate to be scaled upto 6 liters / min to 10
litres per min.
● Maintain the prone positioning (sleeping on
stomach) and the steroids

36. List of drugs that are not useful (don't use
routinely)
➢ Azithromycin
➢ Doxycycline
➢ Ivermectin
➢ Hydroxychloroquine.
➢ Favipravir
➢ Remdesivir
People considered useful at some time but but the research
papers published later had stated that they are not useful.

37. Doctor's Initial assessment
The steps of home that told you about, it is advisable
if it's possible for you, to get an initial assessment
done of patient at very least from hospital or clinic by
a doctor, so that doctor get to know about
pre-existing conditions of the patient and
precautions that would be required, because every
patient is different. There is slight changes in
treatment based on existing problems. This is why it
is advisable to get an initial assessment.

38. ● If doctor's assessment not possible , then take
oversight of a doctor or Nurse through a phone
call or a video call. It will also be good.
● Apart from this, keep practicing sanitizing,
physical distancing and masking especially if
their is covid-19 patient in your home.
● Also avoid unnecessary visitors at home or to
patient.

39. The Truth About Vaccination
➢ Vaccination is a way of prevention, but not a cure.
➢ It is not a procedure of treatment
➢ Peoples with COVID-19 symptoms should not take
the vaccine. Wait till the symptoms go away & take
the vaccine after that.
➢ Because by taking vaccine you're basically
training immune system for fighting against
disease.

40. Continued
➢ But if your immune system is already under stress, because you
already have the disease, what will the training do? When you're
already infected. The training will then be useless and it won't help
you.
➢ Another thing is that because it takes some time for training, be
extra cautious after taking the vaccine. Practice extra social
distancing, hand washing & sanitizing.
➢ Because immediately after taking the vaccine, if you get the disease
it will be very difficult for your body. Because it will be a training
for your immune system and the actual disease comes in as well.
Then is an added stress on the immune system.

41. References
➔ https://www.infectiousdiseaseadvisor.com/home/decision-support-in-me
dicine/hospital-infection-control/proper-isolation-procedures/
➔ https://medlineplus.gov/ency/patientinstructions/000446.htm
➔ https://www.health.state.mn.us/diseases/coronavirus/pulseoximeter.html
➔ https://www.aappublications.org/news/2020/11/01/parentplus-thermome
ters110120
➔ https://www.mayoclinic.org/diseases-conditions/coronavirus/in-depth/tre
ating-covid-19-at-home/art-20483273
➔ https://youtu.be/coK4FRASTcA
➔ https://swachhindia.ndtv.com/coronavirus-outbreak-explained-how-to-ca
re-for-a-covid-19-patient-safely-at-home-48935/amp/