7 Influenza Pandemic

Question 1

Management principles of a respiratory failure patient arriving to ICU

Early mx

Answer 1

Early
Rx CAP + Sepsis

I+V if deterioration in cardioresp function

Initiate 1, 3 + 6h sepsis bundles

Commence invasive HD monitoring

Obtain BCX & commence BSA according to local guideline if suspected bacterial infection

Send throat & NPA swab for testing
rapid test
real time reverse transcriptase polymerase chain reacion test
2-4 days / high sensitive to specific strains

viral cultures

If positive commence antivirals (remdesivir + steds if coveh)
w/ micro + ID advice

Caution with ppe

Question 2

Late Mx

Answer 2

Vent care bundle

Continued micro input
apporpriate abx if bcx positive (or deescelate)

VTE proph

RRT

O2 improvement strategies
Proning
HFOV
Paralyse 
ECMO?

Steroid use
balance risk v oppurtunistic infection

Question 3

Methods for reducing cross infection w. PPE

Answer 3

Nurse patient single room
w/ ante up room
adequate ventilation
>12h changes/hour

Isolation / visiting

Staff
FFP3 if close contact
gown hat gloves eye protection