M103 T4 L8 B - COVID Flashcards

1
Q

Where does the spike protein bind to?

A

the ACE2 receptor

on airway epithelial cells

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2
Q

What type of coronavirus is COVID?

A

beta coronavirus

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3
Q

What are the main symptoms of COVID?

A

a new, continuous dry cough
a fever over 37.8 oC
change / loss of sense of smell / taste

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4
Q

What increases with increased age?

A

the frequency of nausea, vomiting, abdominal pain, headache and sore throat

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5
Q

What decreases with increased age?

A

fever

runny nose

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6
Q

What are the four different outcomes of having COVID?

A

asymptomatic disease
severe other diseases
become critically unwell
death

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7
Q

When does hospital admission usually occur from point of infection?

A

usually on days 8-10

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8
Q

What is the single greatest risk of mortality from COVID-19?

A

increasing age
the risk increases exponentially with age
80% of deaths have been in those aged 70 years and over

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9
Q

Which features in patients result in an increased risk of severe disease?

A

underlying medical problems
gender - male
BAME groups

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10
Q

Which features in patients result in higher rates of infection?

A

BAME groups
societal factors
poor access to healthcare

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11
Q

Which features in patients result in higher rates of deaths?

A

BAME groups

age

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12
Q

What are some examples of societal factors that result in higher rates of infection?

A

occupation
household size
deprivation

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13
Q

In what conditions are patients admitted for COVID?

A

when the oxygen sats <90%
when the respiratory rate >30
when there are signs of severe respiratory distress

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14
Q

What are sigs of complications in COVID patients?

A
High risk of thromboembolism
Glycemic issues – hyperglycemia, DKA
Acute kidney injury
Cardiac toxicity
Delirium in elderly
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15
Q

How are patients treated for COVID?

A

Supportive care
High flow oxygen
Dexamethasone

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16
Q

How is COVID transmission prevented?

A
PPE 
Ventilation (environment)
Reducing encounters
Reducing contact / proximity
Handwashing
Immunisation