COVID-19 Flashcards
Infectious disease caused by coronavirus, SARS-CoV-2
COVID-19
Pathogenesis of COVID-19?
Largely unknown; mimics SARS
Cytopathic to human airway and alveolar cells
Promotes release of cytokines, leading to inflammation of the pneumocytes
Route of Transmission of COVID 19?
respiratory droplets and contact
Clinical Features of COVID-19?
Incubation of 0-24 days (ave. of 5-7 days)
Average symptom onset of 5 to 6 days from exposure, with symptoms lasting 1 to 14 days
Complications of COVID-19?
ARDS, respiratory failure, liver injury, acute myocardial and kidney injury, septic shock, and multiple organ failure
Diagnostics of COVID-19?
molecular test (PCR) or a rapid antigen-detection test
Common Symptoms of COVID-19?
Fever
Chills
Sore throat
Preventive Measures of COVID-19?
-Social distancing
-Wearing of mask in crowded places
-Practicing hand hygiene
-Respiratory etiquette
-Vaccination and booster doses
Prevention of COVID-19?
COVID-19 vaccination
Side Effects of COVID-19 vaccination?
Happens within 7 days
Fever, chills, tiredness, and headache are more common after 2nd dose of vaccination
Adverse Events of COVID-19 vaccination?
Risk of myocarditis and pericarditis associated with mRNA COVID-19 vaccination (males ages 12-39 years)
COVID-19 vaccines that are designed to teach our cells how to make a protein that triggers an adaptive immune response and safe during pregnancy
mRNA COVID-19 vaccines: Pfizer & Moderna
Uses a harmless virus which is altered to contain part of COVID-19’s genetic code
Pfizer/Moderna
Contains a synthetic version of part of COVID-19’s genetic code (mRNA)
Pfizer/Moderna
Contains a weakened or inactivated version of the COVID-19 virus
Johnson&Johnson(Janssen)
Uses pieces of the COVID-19 virus – sometimes fragments of the ‘spike’ protein
Novavax
Number of Doses for Pfizer
2 doses, 21 days apart
Number of Doses for Moderna
2 doses, 28 days apart
Number of Doses for Janssen
1 dose
Number of Doses for Novavax
2 doses, 21 days apart
Age approved for Pfizer?
6 months+
Age approved for Moderna?
6 months+
Age approved for Janssen
18 years+
Age approved for Novavax
12 years+
Pfizer’s Rate of Effectiveness
95%
86% in 65+
Moderna’s Rate of Effectiveness
94.1%
86% in 65+
Janssen’s Rate of Effectiveness
72%
86% against severe disease
Novavax’s Rate of Effectiveness
90.4%
78.6 in 65+
Emergency Use Authorization of Pfizer
Dec. 11, 2020
Emergency Use Authorization of Moderna
Dec. 18, 2020
Emergency Use Authorization of Janssen
Feb. 27, 2021
Emergency Use Authorization of Novavax
July 12, 2022
Type of Vaccine for Pfizer
mRNA
Type of Vaccine for Moderna
mRNA
Type of Vaccine for Janssen
Viral Vector
Type of Vaccine for Novavax
Recombinant protein/adjuvants
Most common side effects of COVID-19 vaccines mentioned
Fatigue, headache, chills, muscle pain
Contraindication for Pfizer and Moderna
History of allergic reaction to polyethylene glycol, polysorbate, or other vaccine ingredients
Allergic reaction to first dose
Contraindication for Janssen
History of severe reaction to vaccine ingredients, risk of rare blood clot in women under 50
A version of the SARS-CoV-2 coronavirus that has evolved and changed shape, which can alter its behavior
Viral Variant
The immune response generated by vaccination or infection activates:
B cells which make highly specific antibodies that bind to the virus and stop it entering your cells.
T cells which can stimulate B cells and kill infected cells
IMMUNITY
Antibodies that aren’t as good at recognizing variant’s shape so the virus can cause an infection
IMMUNE EVASION
COVID-19 CLINICAL PATHWAY
C.A.R.E
Confirm
Assess
Respond
Evaluate
Five RIGHTS of Drug Administration
Right Medication
Right Patient
Right Dose
Right Time
Right Route
Strongly Recommended Drugs for patient at High Risk with Non-severe COVID
Nirmatrelvir
Ritonavir
Weakly Recommended Drugs for patient at High Risk with Non-severe COVID
Molnupiravir
Remdesivir
Weakly Recommended Drugs for patient at Moderate Risk with Non-severe COVID
Nirmatrelvir
Ritonavir
Weakly Against Drugs for patient at Moderate Risk with Non-severe COVID
Molnupiravir
Remdesivir
Strongly Against Drugs for patient at Low Risk with Non-severe COVID
Molnupiravir
Remdesivir
Strongly Recommended Drugs for a patient with Severe COVID
Corticosteroids
Tocilizumab (IL-6
Receptor Blockers)
Baricitinib (JAK
Inhibitors)
Weakly Recommended Drugs for a patient with Severe COVID
Ruxolitinib and
Tofacitinib (JAK
Inhibitors)
Remdesivir
Strongly Recommended Drugs for a patient with Critical COVID
Corticosteroids
Tocilizumab (IL-6
Receptor Blockers)
Baricitinib (JAK
Inhibitors)
Weakly Recommended Drugs for a patient with Critical COVID
Ruxolitinib and
Tofacitinib (JAK
Inhibitors)
Remdesivir
Weakly Against Drugs for a patient with Critical COVID
Remdesivir
Drugs not for treatment
and only used for
research settings:
Ivermectin
Fluvoxamine
Convalescent Plasma
VV116
Drugs that are not recommended for treatment:
Colchicine
Hydroxychloroquine
Lopinavir-ritonavir
Casirivimab and imdevimab
Sotrovimab
Adverse Events for Remdesivir
Acute kidney injury, increase liver enzymes, hypotension, arrhythmia, thrombotic events, acquired infection (sepsis), seizures
Adverse Events for Nirmatrelvir and Ritonavir
Acute kidney injury, thrombotic events, bleeding, acquired infection (sepsis)
Adverse Events for Molnupiravir
Acute kidney injury, thrombotic events, bleeding, hypertension