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CORONAVIRUS DISEASE 2019 (COVID-19) TREATMENT GUIDELINES
MARCH, 2021

The guidance is based on proper case management aspects intended for clinicians involved in the care of patients with suspected or confirmed COVID-19. It is not meant to replace clinical judgment or specialist consultation but rather to strengthen frontline clinical management and the public health response.

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NOTE. THIS GUIDELINE IS THE PROPERTY OF MINISTRY OF HEALTH, COMMUNITY DEVELOPMENT, GENDER, ELDERLY AND CHILDREN.

2. SCREENING AND TRIAGING

2. SCREENING AND TRIAGING

2.1. Symptoms associated with COVID-19

Triaging according to severity of COVID 19 Patient

Mild covid-19 disease

Moderate covid-19 disease(pneumonia)

Severe covid-19 disease (severe pneumonia)

Critical disease-Acute respiratory distress syndrome (ARDS)

Critical disease (sepsis)

Critical disease (septic shock)

Note

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1. INTRODUCTION

1. INTRODUCTION

1.a. Disease pathophysiology (time course of the disease)

Phase I:

Phase II:

Phase III

Phase IV

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3. INITIAL PATIENT APPROACH

3. INITIAL PATIENT APPROACH

ABCDE approach

A – Airway

B – Breathing

C – Circulation

D – Disability

E – Exposure

Note

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4. MANAGEMENT BASED ON DISEASE SEVERITY

4. MANAGEMENT BASED ON DISEASE SEVERITY

a. Mild covid-19 disease (home care)

b. Moderate covid-19 disease (pneumonia)

c. Severe covid-19 disease (severe pneumonia)

d. Critical disease

NOTE

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5. RESPIRATORY MANAGEMENT FOR COVID-19 PATIENT

5. RESPIRATORY MANAGEMENT FOR COVID-19 PATIENT

1. Oxygenation and Ventilation

a. Low Flow nasal canula

b. Simple face mask

c. Non – rebreather Mask

d. Cpap face mask

e. Bag-valve mask (ambu bag)

f. Bag-valve mask (ambu bag)

g. High Flow Nasal Canula

2. Note

3. Recognize severe hypoxemic respiratory failure

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