A 12 months after the Coronavirus pandemic wrecked our collective lives, our society has been grappling with concern and insecurity. As a consequence, now we have seen misinformation unfold like wildfire, and plenty of resorting to weird and incorrect strategies of coping with the virus. With this column, which will likely be printed each Sunday, we goal to deal with any well being or vaccine-related query our readers may need concerning the coronavirus pandemic.
In this week’s column, Dr Parul Vadgama, Head of Department, Respiratory Medicine, Government Medical College, Surat has answered queries. She can be Vice president, IMA GSB (Indian Medical Association Gujarat State Branch).
When will the second wave peak in India?
Though each metropolis is at a distinct stage of the height. On common, we expect to achieve round May 2nd or third week for a lot of the nation. In June, we may even see a decline within the circumstances.
What is being executed to take care of oxygen scarcity?
There is a extreme scarcity of oxygen within the nation. We absolutely want extra oxygen provide however till that reaches us, we as a health care provider are doing no matter we will to make use of the present provide as judiciously as attainable. At Surat Medical College, we’re looking for methods to cut back oxygen wastage and to make use of the accessible oxygen as judiciously as attainable. We are taking some vital steps: We focused a affected person’s oxygen saturation above 92 %. When we give oxygen to a affected person, at instances a small quantity of oxygen leaks on the oxygen port, or at instances there may be leakage within the ventilator. So, we activated our biomedical group and fashioned an oxygen audit committee which contains a health care provider, a nurse and, a biomedical engineer. This group takes rounds to search for leakage and resolve it. We have began switching off the affected person’s oxygen provide when the affected person is consuming meals or goes to the washroom.
We have began actively weaning the affected person off the oxygen. As quickly because the affected person stabilizes, we attempt to taper down its oxygen dependence. For sufferers who want 5-7 litres of oxygen, we shift them on an oxygen concentrator. Then we’re utilizing a small gadget known as ventipip, an instrument with a bi-pap masks. This is just not a ventilator, however it’s a small instrument that offers oxygen with stress which helps in opening the affected person’s lungs cell. So, a affected person who requires say 15 lt/ min now wants 10 lt/min, enabling us to deal with a affected person with lesser oxygen extra effectively.
With all these small improvements, we’re capable of save 7-8 metric tons of oxygen day by day which can be utilized to stabilise one other 100 sufferers.
If Maharashtra actually prone to see the third wave in July-August and the right way to deter that?
I believe Maharashtra may even see the third wave slightly later by September -October. But we have to put together ourselves from now. See, we have to study from the unhealthy days. We want to enhance our healthcare infrastructure. We undoubtedly want extra oxygen beds, extra oxygen vegetation, extra ventilators.
Besides, we will likely be needing educated manpower. We have already begun coaching our nursing college students and paramedic employees in life-saving procedures resembling bi-pap, organising a ventilator, organising an oxygen cylinder, and many others. Covid is right here to remain, we’d be needing educated medical manpower to have the ability to deal with the rising variety of circumstances.
What occurs when an individual’s Covid-19 test outcomes are negative however he nonetheless has each symptom of the virus?
If your signs are delicate resembling you have got fever, myalgia, physique ache, cough congestion please isolate your self and take medicines to alleviate the signs. Keep your self hydrated. And maintain observe of your oxygen saturation. If your oxygen degree dips, whether or not or not your RTPCR is optimistic, seek the advice of a health care provider and search admission at a hospital.
What assessments ought to an individual who has recovered from COVID 19 do to examine the well-being of his organs?
We don’t suggest any follow-up test. In case of extreme pneumonia, with greater than 35-40 p.c lung involvement, then we could advise sufferers to get a CT scan of the chest and pulmonary operate test after a month. Yes, on the finish of remedy we examine different markers resembling CRP, D-Dimer, IL6 to rule out the potential of any residual symptom or secondary an infection.
Does the vaccine have an effect on those that have Cirrhosis of liver?
If your LFT is regular and there’s no current an infection or irritation, you may safely take your Covid-19 vaccine.
What is the very first thing an individual ought to do if his or her oxygen degree dips and she or he can not entry any hospital ?
If your oxygen saturation dips past 94 %, it’s possible you’ll attempt to stabilise a affected person with an oxygen concentrator until the time you get a mattress. Any healthcare facility the place you have got an oxygen provide will likely be useful.
If my Spo2 is regular however I’m feeling wanting breath, what ought to I do (Covid optimistic since 14 days, no fever since 5 days and regular spo2)
If you’re feeling breathless, please seek the advice of a health care provider. Please recheck your oxygen saturation utilizing one other oximeter as it’s attainable that your oximeter is just not providing you with an correct studying. Check your respiration fee. For that lie down straight, put one in every of your palms in your stomach, and depend the variety of breaths you absorb one minute. If it’s greater than 20 breaths / minutes, pls seek the advice of a health care provider.
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