When should a Covid-19 patient seek hospital admission? Take 6-minute walk test, says doctor

If there is a fluctuation of 4 per cent or more in oxygen level before and after 6 minutes of walking, then hospital admission may be required.

 

As hospitals are running out of beds with a sharp spike in the number of people Covid-19 patients requiring medical admission, doctors are urging people to not panic if the RT-PCR test comes positive and not to seek hospital admission when not required. Most of the Covid-19 positive patients get cured under home treatment, a video message posted by the citizen engagement platform of the government of India said based on the suggestions of Dr CS Pramesh, director, Tata Memorial Hospital.

Apart from good nutrition, loads of fluid, yoga, pranayam, covid-positive patients must track their fever and oxygen level. For an accurate understanding of the oxygen level, taking a six-minute walk test is being suggested where a patient has to oxygen reading before and after six-minute of walking in their isolation rooms. This test can be taken 2-3 times in a day, the video message said. If these readings are normal, then there is no need for the hospital admission.

Hospital admission is needed if

> the baseline saturation on Oximeter is below 94 per cent

> there is a 4 per cent or more fluctuation in oxygen level before and after 6 minutes of walking

In such cases when the oxygen level is below 94 per cent, one should lie face down on their belly to improve the oxygen level in blood.

Regarding medication, if a patient does not have any other symptom than fever, then only paracetamol is required.

AIIMS director Dr Ramdeep Guleria has said more than 85 per cent of the covid patients will recover without any specific treatment. "Oxygen is a treatment, it is like a drug. There is no data that shows that this will be of any help to the patients and is, therefore, ill-advised," he said adding that healthy individuals with oxygen saturation in the range of 93-94 per cent do not need to take high-flow oxygen to maintain the optimum saturation level.

This is only for your information, kindly take the advice of your doctor for medicines, exercises and so on.     

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Drug for Alzheimer's disease increases hospitalisation risk

 Researchers have found that a drug, donepezil commonly used to manage symptoms of Alzheimer disease and other forms of dementia, is associated with a two-fold higher risk of hospitalisation.

According to the study, using donepezil increases the risk of hospital admission for rhabdomyolysis, a painful condition of muscle breakdown, compared with several other cholinesterase inhibitors.

Dementia is a growing problem, with almost 10 million newly diagnosed cases every year around the world, said the researchers.

"The findings of this population-based cohort study support regulatory agency warnings about the risk of donepezil-induced rhabdomyolysis," said study researcher.

The study,  looked at ICES data from 2002 to 2017 on 2,20,353 patients aged 66 years or older in Ontario, Canada, with a new prescription for donepezil, rivastigmine or galantamine, three cholinesterase inhibitors used to manage dementia and Alzheimer disease.

The researchers found that donepezil was associated with a two-fold higher risk of hospitalisation for rhabdomyolysis, a serious condition that can result in kidney disease.

According to the findings, the relative risk was small but statistically significant.

this is only for your information, kindly take the advice of your doctor for medicines, exercises and so on.   
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https://gseasyrecipes.blogspot.com. feel free to view for easy, simple and healthy recipes    
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