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Treating Covid Pneumonia: Real Story told by a Frontline Doctor

Mar 21, 2024
I have been working in a Covid Pneumonia Critical Care Center for the past few months. Of all the patients I've treated so far, a young man in his 20s stands out as the most memorable case in today's episode of interesting medical cases. I am going to explain how he treated and saved a patient with severe Covid-19

pneumonia

. Stewart didn't have

pneumonia

when he first came. He presented to us with fever and body aches for only three days. He tested positive for

covid

-19 after a rapid antigen test he had no previous medical conditions unfortunately he had refused to take the

covid

-19 vaccine we took a baseline chest x-ray on all covid-19 patients and this was Your initial chest x-ray lungs were clear with no evidence of pneumonia.
treating covid pneumonia real story told by a frontline doctor
Take a good look at this x-ray because the inflammatory response will damage your lungs in the coming days. Around the ninth day of the illness, a nursing officer informed me that Stewart's oxygen saturation was 89. Our goal: Stuart's oxygen saturation was above 92. The saturation had improved to 98 after the nurse He put on an oxygen mask. I ordered another chest x-ray. In this x-ray the lungs look blurry. This pattern is called frosted glass appearance. It's a sign. of the inflammatory response against covid-19, lung inflammation caused by ammonia leads to the notorious acute respiratory distress syndrome. How can we prevent this inflammation-mediated lung damage? the answer is steroids the need for oxygen is an indication for intravenous dexamethasone which works by reducing the body's inflammatory response against the coveted virus we also started the antibiotic ceftriaxone to treat a possible secondary bacterial infection his saturation was still around 98 the next day but there was a problem he was breathing fast even though the saturation was 98 his respiratory muscles were working vigorously to maintain oxygenation, this is not a good sign, we had to do something to reduce the work of breathing before the respiratory muscles become exhausted, so we decided Putting him on continuous positive airway pressure or CPAP ventilation in about an hour of CPAP support, his work of breathing improved.
treating covid pneumonia real story told by a frontline doctor

More Interesting Facts About,

treating covid pneumonia real story told by a frontline doctor...

At this stage we wanted to give you the Tuscilla Zoo Map, which is a powerful anti-inflammatory drug. It works by blocking interleukin-6, which is an important inflammatory mediator. Before administering such a potent immunosuppressant, it is essential to exclude underlying bacterial sepsis. We send him blood. for procalcitonin, which is a marker of bacterial sepsis, was negative and we were able to inject Stewart with tuscilla Zuma. Why did his need for oxygen increase this time? We did a high resolution CT scan or HRCT of his chest. The hrct is seen in a cross section. On the chest you can see the frosted glass pattern here but this time there was a new development.
treating covid pneumonia real story told by a frontline doctor
Can you see these white spots? they are called consolidations now it is no longer early pneumonia this phase of pneumonia is called organizing pneumonia dexamethasone was not enough to control the inflammation therefore Stewart was started on pulsed doses of methylprednisolone due to lack of availability we could not administer ramdesvir , which is an antiviral drug that reduces recovery time in patients with severe and coveted pneumonia, but the World Health Organization does not recommend rendezvir for routine care, as it has not been shown to reduce mortality and the need for ventilation mechanically, we also did a series of tests, including CT pulmonary angiography to exclude pulmonary embolism, which is a known complication of severe Covid-19 disease.
treating covid pneumonia real story told by a frontline doctor
Stewart was taking a blood thinner called enoxaparin to prevent pulmonary embolism. Steward improved over the next few days and we gradually tapered off his oxygen therapy. He was discharged on the 21st day of illness. Please help my channel by pressing the like button. See you soon with another interesting medical case.

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