COVID-19 TREATMENT GUIDELINEIN TANZANIA, MARCH 2021
Posted by ULY CLINIC
24 Machi 2021 12:36:12
The guidance is based on proper case management aspects intended for clinicians involved in the care of patients with suspected or confirmed COVID-19. It is not meant to replace clinical judgment or specialist consultation but rather to strengthen frontline clinical management and the public health response.
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NOTE. THIS GUIDELINE IS THE POPERTY OF MINISTRY OF HEALTH, COMMUNITY DEVELOPMENT, GENDER, ELDERLY AND CHILDREN
3. INITIAL PATIENT APPROACH
Infection prevention and control (IPC) is a critical and integral part of clinical management of patients. Prior to commencing the assessment, the healthcare worker conducting the assessment must ensure the implementation of IPC measures for patients with suspected or confirmed COVID-19 at all times. In summary, health care providers attending patients with suspected or confirmed COVID-19 must apply standard precautions according to risk assessment for all patients, at all times, when providing any diagnostic and care services. Appropriate precautions include wearing appropriate personal protective equipment (PPE), ensuring the suspected patient is wearing mask, and directed to a designated area for care, as well as keeping appropriate distance (of at least 1 metre) between patients (For more details on IPC measures see section 12 in this guideline).
ABCDE approach
• A – Airway
• B – Breathing
• C – Circulation
• D – Disability
• E – Exposure
A – Airway
Check for and correct any obstruction to movement of air into the lungs
B – Breathing
Breathing: ensure adequate chest movement, check oxygen saturation and respiratory rate.
C – Circulation
Evaluate whether there is adequate perfusion to deliver oxygen to the tissues; check for signs of life-threatening bleeding, check pulse rate and blood pressure
D – Disability
Assess conscious level with AVPU or Glasgow Coma Scale and assess brain and spine functions, check glucose if GCS <15 or if patient is weak.
E – Exposure
Identify all injuries and any environmental threats and avoid hypothermia.
Note
If any of the vital signs are severely deranged, the patient should be regarded as severe or critical and care should be provided immediately and without delay. Severely deranged vital signs are: Glasgow Coma Scale 3-8; Respiratory Rate <8 or >30; Oxygen saturation <90; Heart rate <40 or >130; Systolic Blood Pressure <90.
Updated,
24 Machi 2021 20:15:59
References
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