Query COVID Flashcards
What are the 7 commonest symptoms of COVID?
- Fever
- New and continuous cough
- Shortness of breath
- Ftigue
- Loss of appetite
- Anosmia (loss of smell)
- Aguesia (loss of taste)
What are 9 less common symptoms of COVID?
- Headache
- Muscle pain
- Sore throat
- Nasal congestion
- Chest pain
- Nausea and vomiting
- Diarrhoea
- Skin rashes (especially younger people)
- Delirium and reduced mobility in elderly and immunocompromised
What is the recommended approch to management of patients with suspected COVID?
- do not attend GP practice, contact NHS 111 online if symptoms severe enough to warrant interaction with health services
- If mild symptoms, advise to stay at home
- Advise to self-isolate and arrange for swab test by booking online or if not possible call appropriate telephone numbers (119 in England)
What are 3 reasons why people should contact NHS 111 online for telephone assessment if they have suspected COVID?
- Unable to self-care
- Severe symptoms
- Immunosuppressed
What are 4 criteria to be applied to admit someone with suspected coronavirus to hospital?
- Hospital pracititioner has decided admission to hospital is required with an expectation that the patient will need to stay at least 1 night and
- Have either clinical or radiological evidence of pneumonia or
- Acute respiratory distress syndrome or
- Influenza-like illness: fever ≥37.8°C and at least one of the following respiratory symptoms, which must be of acute onset:
- persistent cough (with or without sputum),
- hoarseness,
- nasal discharge or congestion,
- shortness of breath,
- sore throat,
- wheezing,
- sneezing
What is the isolation advice for people with suspected covid?
- isolate for 10 days after symptoms started
- can stop after 10 days if:
- no symptoms
- only have cough or changes to sense of smell or taste - can last for weeks after infection
What are 4 reasons why you should continue to self-isolate after the 10 day isolation period is up?
- A high tempearture, or feel hot and shivery
- A runny nose or sneezing
- Nausea or vomiting
- Diarrhoea
What is the advice for isolation if you live with someone who has symptoms or tests positive?
- self-isolate for 14 days (takes 14 days for symptoms to appear)
- starts from when first person in home started to have symptoms or day they were tested; if symptoms subsquent to test, isolate further 14 days from when symptoms started
What should a person do if they develop symptoms while self-isolating?
book a test and keep self-isolating for remainder of 14 days
if test positive, self-isolate for 10 days from when symptoms started; may mean self-isolate for longer than 14 days
What is the advice if you may have been in contact with someone with coronavirus infection?
if told to isolate by Test and Trace app, should isolate for 14 days from day they were last in contact with person who tested positive
What are the 2 levels of people who are at higher risk?
- High risk - clinically extremely vulnerable
- Moderate risk - clinically vulnerable
What are 10 groups who are at high risk from COVID?
- Had organ transplant
- Having chemotherapy or antibody treatment for cancer including immunotherapy
- Having intense course of radiotherapy (radical radiotherapy) for lung cancer
- Having targeted cancer treatments that can affect the immune system (such as protein kinase inhibitors or PARP inhibitors)
- Have blood or bone marrow cancer (such as leukaemia, lymphoma or myeloma)
- Have had bone marrow or stem cell transplant in in past 6 months, or are still taking immunosuppressant medicine
- Have been told by Dr they have a severe lung condition (e.g. CF, severe asthma, severe COPD)
- Have a condition that means they have a very high risk of getting infections such as SCID or sickle cell
- Are taking medicine that makes them much more likely to get infections (such as high doses of steroids or immunosuppressant medicine)
- Serious heart condition and are pregnant
What are 11 things that put you at moderate risk from coronavirus?
- Are aged 70 years or over.
- Have a lung condition that’s not severe (such as asthma, COPD, emphysema or bronchitis).
- Have heart disease (such as heart failure).
- Have diabetes.
- Have chronic kidney disease.
- Have liver disease (such as hepatitis).
- Have a condition affecting the brain or nerves (such as Parkinson’s disease, motor neurone disease, multiple sclerosis or cerebral palsy).
- Have a condition that means they have a high risk of getting infections.
- Are taking medicine that can affect the immune system (such as low doses of steroids).
- Are very obese (a body mass index [BMI] of 40 or above).
- Are pregnant
What are 4 recommendations for women who are pregnant?
- Wash their hands regulaly
- Stay at home as much as possible and follow advice on social distancing
- Stay away from anyone who has symptoms of coronavirus
- Go to all of antenatal scans and appointments unless advised not to
What are 5 options for how to assess a patient with suspected COVID and how should the decision be made?
- Telephone consult
- Video call
- F2F in surgery
- Covid hot clinic referral
- 999
should be shared decision about location of care
What is the management of COVID based on category? Use the algorithm
