Thread by @PIB_India

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So you become #COVID Positive, What's Next?

For answers, watch our webinar and post if you have any other questions/doubts on #COVID19 here👉

I think there is a greater responsibility on patients too.

Doctors say, 80% effort has to be from patients. If a patient does not follow #COVID19 protocols/instructions given by Doctor, panics then it will be more difficult

- Prof. Raghuram, BITS Goa

#StayHome, do not go outside unless absolutely necessary, do not challenge the administration - it is one of the social service which we can do during this time

- Prof. Raghuram, BITS Goa

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#Unite2FightCorona

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It is important we act on correct information and guidance, official public health guidelines are evolving, what is correct today may not be applicable tomorrow

- Dr. Somashekar

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24% of infections are transmitted via patients who don't develop symptoms; patients who are yet to develop symptoms transmit 35% of the infection

Dr. Ravichandra. C, CMO, National Tuberculosis Institute, speaks about how one gets #COVID19 infected

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We have to be very careful up to 14 days after appearance of #COVID19 symptoms, infection can spread till then

A patient, even if microbiologically -ve, may be #COVID +ve, if consulting Doctor clinically diagnoses him/her as +ve

- Dr. Ravichandra. C

#Unite2FightCorona

✅80% of #COVID19 cases are mild - isolate yourself

✅15% may have moderate disease - #Oxygen level may go < 94%

✅5% may end up having severe disease - respiratory rate higher than 30/minute and oxygen level < 90%

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Having mild #COVID19 ?

👉Isolate
👉Must to use #Mask indoors so that no one else gets infected because of us
👉Monitor temperature, O2 level
👉Have plenty of water
👉 Seek medical attention if you have high fever for more than 5 days / breathlessness

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If you have moderate #COVID19:

👉Use non rebreathing face mask to improve oxygen level
👉Proning, change lying position every 2 hours
👉Anti inflammatory medicines may help (as prescribed by doctor)

- Dr. Ravichandra. C
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In case of Severe #COVID19 cases,

👉High flow nasal cannula may be used where necessary for #Oxygen Therapy
👉Intubation (1% - 2% cases)
👉Anti inflammatory medicines (as prescribed by Doctors)

- Dr. Ravichandra. C
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Many patients will recover without #Remdesivir; to be used only in specific circumstances

❌Not to be used among patients who are not on #Oxygen support or are in home settings

- Dr. Ravichandra. C
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Post your questions on #COVID19 👉

#Tocilizumab can be very useful in bringing back patient who is slipping away into critical stage

➡️To be used only in those who are on oxygen therapy, who don't suffer from known contraindications

- Dr. Ravichandra. C
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Convalescent #Plasma therapy has not yet been proved; it is only emergency authorization

Moderate cases - within 7 days of symptoms, may use #Plasma on Doctors' advice

- Dr. Ravichandra. C
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Only known source of infection is a person infected by #CoronaVirus

As soon as you are tested #COVID +ve, isolate, stay in well-ventilated rooms, seek health care as per severity

Respiratory etiquette very important

- Dr. Vineet Chadha, National Tuberculosis Institute

Most people don't use masks properly

#Masks are the most useful weapon in our fight against #COVID19, we need to know how to wear and dispose it properly

- Dr. Vineet Chadha, National Tuberculosis Institute
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😷Better to use separate #Mask for home and for office
😷Never place it directly on surfaces
😷Don't wash N95 mask with soap / detergent
😷Special care to be taken while disposing N95 Masks

- Dr. Vineet Chadha, NTI
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Dr. Vineet Chadha, NTI speaks about measures to be taken on detection of confirmed #COVID19 case

Coordinate with Health Department for large scale disinfection
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😷Proper use and disposal of #masks very important

😷Avoid touching the front of the mask when wearing

- Dr. Vineet Chadha, NTI
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#Masks, gloves, medical wastes can become major sources of #COVID19 infection transmission if not treated properly and not discarded without proper disinfection procedure

- Mamatha H G, Consultant Microbiologist, National Tuberculosis Institute
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✅Thermal screening must at office entry points
✅Security staff to be given PPE
✅Contact with family on reaching home, only after washing hands, bath, changing clothes
✅Continuous awareness important
❌Big no for visitors

- Dr. Vineet, NTI
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RT-PCR tests may not yield +ve result in all positive cases, since its sensitivity is 60% - 70%

👉In such cases, CT-scan which has higher sensitivity may be required; but patient should NOT request for it; it is doctor's decision
- Dr. Ravichandra, NTI

Please spread the message

If you get #COVID19 infected after 1st dose, wait until your results become -ve; go for 2nd dose, 4 weeks after resolution of symptoms

👉Remember, even after taking #Vaccine, you should continue to take precautions
Vaccine helps prevent severe illness/death

- Dr. Ravichandra

If you are yet to take the #Vaccine but got #COVID +ve, you should delay #Vaccination by 3 to 4 weeks

If you get #COVID +ve, after 1st dose, delay 2 nd dose by 4 weeks after resolution of symptoms

- Dr. Vineet Chadha
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Ideal period of second dose of #Vaccine is 8 to 12 weeks; even if you delay by another 3 to 4 weeks, it is not going to decrease the efficacy of the Vaccine

- Dr. Vineet Chadha
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For pregnant mothers, no clear data on effect of #Vaccine on foetus

For breastfeeding mothers, better to wean baby into other foods and then vaccinate

But if chances of infection are high, better to vaccinate even if lactating

- Dr. Vineet Chadha

For those who don't have pulse #Oximeter:

Keep your palm on your chest, measure your respiratory rate for 1 minute

If less than 24, it is fine
If more than 24, it is moderate
If more than 30, it may be severe disease

- Dr. Somashekar

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High risk patients with pre-existing conditions like heart disease, hypertension, who have only mild #COVID19 disease and are in home isolation, can continue to take existing medications upon consultation with doctor

- Dr. Ravichandra

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Don't take antibiotics on your own unnecessarily; take only if prescribed by physician, after clinical examination & assessment of risks

Antibiotics are usually prescribed to take care of secondary infections, as a prophylactic, not for treatment for #COVID19

- Dr. Somashekar

If cough still persists, weigh loss is there, even after recovering from #COVID19, it could be a case of Tuberculosis (TB)

So consult doctor for early diagnosis and necessary action

- Dr. Somashekar
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📽️

#MentalHealthMatters
Take care of your #Mentalhealth too, especially after getting infected with #COVID19

Reduce 📱screen💻 time
Take rest
Get good sleep
Relax

- Dr. Somashekar
#Unite2FightCorona

#COVID19 patient becomes non-infectious mostly 10 days after symptom onset

Hence, Negative RT-PCR test after home isolation is not required if patient is not having symptoms and no fever for last few days

- Dr. Vineet Chadha
#Unite2FightCorona

📽️

There is risk of catching #COVID infection even in open air even if we are wearing mask😷, but someone near us is not❌

That is why everyone needs to observe #COVID19 appropriate behaviours

Only then we can get over this #Pandemic

- Dr. Vineet Chadha
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Steroids are NOT advised in initial phase of #COVID19 infection

✅Advised only if #COVID patient is slipping into moderate/severe case, where there is indication of worsening of inflammatory conditions

- Dr. Ravichandra
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#Dexamethasone and Methylprednisolone have saved and save many lives, when patients are already on Oxygen support

- Dr. Ravichandra strictly advises not to use steroids in initial phase of #COVID19 infection

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When blood clot happens, it will present as a very dramatic, serious condition, requiring urgent attention

So, clotting will not be diagnosed unless D-dimer levels rise significantly/some very dramatic condition presents itself

- Dr. Ravichandra
Watch

#IndiaFightsCOVID19 Webinar explores what to do after one tests #Covid_19 Positive

Read in detail
📒pib.gov.in/PressReleasePa…

Webinar

Let's #Unite2FightCorona
Let's spread awareness