Covid-19: Ministry of Health treats corona virus symptomatically
The Medical Professional Council said it was treating symptomatic 19-year-old Covid patients, keeping the room open and gargling with antiseptic solutions.
Deputy Minister of Health Nguyen Truong Son, Director of Luong Ngoc Khue Medical Examination and Management Department, together with 30 experts from the Council of Experts on Infectious Diseases, held an update meeting on Covid-19 diagnosis and treatment guidance from To World Health Organization (WHO), afternoon. Experts also consider drugs that are currently being tested by a number of countries.
However, the Council affirmed that there was no specific drug to treat Covid-19, all of which are currently the main symptomatic treatment.
The Ministry of Health recommends that the use of drugs in the treatment of Covid-19 must follow the doctor's diagnosis and treatment guidelines. People do not arbitrarily use medicines to avoid poisoning or unwanted side effects.
The first Covid-19 patient in Vietnam (left) was treated at Cho Ray hospital in an open room, cured by the end of February. Photo: Huu Khoa.
To treat Covid-19 patients, the Ministry of Health guides:
With patient treatment’s room:
Rooms should be well ventilated. Air filtration systems or preventive disinfection measures such as ultraviolet lights can be used.
- Hygiene of nose and throat, can moisten nose by small physiological saline solution. Gargle with regular mouth hygiene solutions.
- Keep warm. Drink enough water, ensure fluid and electrolyte balance.
- Be cautious when infusing patients with pneumonia without showing signs of shock.
- Ensure nutrition and improve fitness.
- Patients with serious, critical illness should apply the nutritional guidelines of the Emergency Resuscitation and Poison Control.
- Patients with high fever, antipyretic with paracetamol dose of 10-15 mg once a kg, not more than 60 mg a kg a day for children and no more than 2 grams a day for adults.
- Relieve cough with common cough suppressants if needed.
- Other treatments such as antibiotic use, antiviral drugs, systemic corticosteroids, extra-body dialysis, intravenous immunoglobulin (IVIG), and respiratory rehabilitation ...
The treatment regimen is also based on each patient's condition. At Cho Ray Hospital, doctors give patients gargle with antiseptic solution.
"Foreign documents have never mentioned this way, but through the experience of treatment and scientific evidence on caring for ventilator patients, we apply the gargling method to help prevent infections, prevent viruses. Here is a different method of Vietnam, "said Dr. Le Quoc Hung, Dean of Tropical Diseases Department of Cho Ray Hospital. Cho Ray Hospital successfully treated 2 patients of Covid-19.
WHO recommendations have never been used to gargle. Most importantly, the doctor must closely monitor the patient's health, applying all clinical experience to detect early complications and prevent them.
In addition, doctors closely monitor the vital signs, promptly detect signs of severe progression of patients such as respiratory failure, circulatory failure to take timely interventions. Assessment, treatment and prognosis of chronic comorbid conditions if any.
Complete clinical laboratory tests and routine exploration, depending on the patient's situation to diagnose, predict, and monitor patients.
In addition, at the treatment facilities, there should be minimum equipment and emergency tools such as oxygen saturation monitors, oxygen supply systems / bottles, oxygen breathing apparatus, masks, instruments. endotracheal intubation suitable for ages ...
In the case of a patient with severe, persistent hypoxia or failure with conventional therapies, the physician will consider the appointment and use of external body membrane oxygen exchange (ECMO) techniques. Specifically. The ECMO method is only used in health facilities that are eligible for implementation.
Currently, in the cases of Covid-19 being treated at the Central Tropical Hospital, 3 very serious patients are receiving ECMO intervention. The consultation of these patients is conducted daily by 30 experts of the Expert Board of the Ministry of Health.