Covid therapy

Question 1

Optional treatment

Answer 1

Zinc 20-50mg dy for 5d
Nicotinic acid 35-50mg dy
Vitamin D 50 000IU stat

Question 2

Pneumonic phase treatment

Answer 2

1. Antibiotics only if PCT is elevated
2. Anticoagulate if D-dimer >1 and add PPI
3. Dexamethasone 8mg bd x 3 then 8mg dy

Question 3

Which complications can occur post tocilizumab?

Answer 3

Fungal sepsis
Bacterial sepsis

Question 4

What treatment is advised if rising CRP, worsening hypoxia or mechanical ventilation required?

Answer 4

Tocilizumab 400mg stat
OR baricitnib 4mg dy

If not available: consider Methylpred 125mg bd x 3d plus remdesivir

Question 5

If you are going to give remdesivir, when should it be given?

Answer 5

Early pneumonic phase