Home ICU Tips For Covid-19 Patients

Brut India

Is it possible to care for a Covid-19 patient at home? Hyderabad's Dr. Sanjeev Kumar has the answer.

Transcript

00:00Today, if some positive patients have come to people's homes and they are scared about how to treat them at home

00:10or if they have to go to the hospital for treatment and they are not getting beds in the hospital

00:14then I will show you in 2 minutes how to take care of these people at home

00:20I am Dr. Sanjeev Kumar from Sunshine Hospital, Gachiboli

00:26Oxygen saturation is 100%

00:29If the oxygen saturation is less than 90% then these patients are sick

00:32If the oxygen saturation is more than 90% then there is nothing to worry about

00:35I waited so long because the pulse oximeter takes about 30 seconds to show normal oxygen saturation

00:42Now, suppose these people are on oxygen saturation less than 90%

00:45and they are being taken to the hospital facility but they are not getting beds, then what should we do?

00:51We will prepare one more section of our house for sick patients

00:56whose entry will not be entered by normal people

01:01and we will isolate these people for 14 days

01:04Suppose, if this is the patient and I have to take care of him

01:09then I will tell you very important things

01:12Whenever you will go to this room

01:15So, you will wear a big cloth or any gown so that your clothes do not get infected

01:24Wear a mask over the gown

01:31After wearing the gown, this whole area is covered

01:34Then you can apply a normal mask or N95 mask on it

01:40Keep in mind that do not touch the mask with your hand

01:45Sterilize it after touching it

01:47Do not apply it in the eyes

01:48You can use a simple mask but discard it daily

01:52Now, because this is an infected zone, there are plastic shields available in the market

01:58If you apply this, your secretions will not go out

02:02Similarly, this patient will also wear a mask and put a shield

02:07What will happen with this?

02:09His secretions and your secretions cannot be found

02:13The chance of infection is very low

02:16If you want to spend time with this person

02:19then according to social distancing, do not spend more than 5 minutes

02:25Give them disposable food

02:30As I said earlier, you can give everything in food

02:33Now, while taking care of these people

02:35Remember that they will use hand sanitizers or soap a lot

02:41Apart from this, whenever you serve these people

02:45then you will use gloves

02:50Touch the patient only after wearing the gloves

02:55If these people are using home-made clothes

02:59then they will be washed after going out

03:03If they are using disposable clothes

03:05then they will be thrown away after using it every time

03:08Now, if you take care of that patient in this condition

03:12give him food, apply oxygen

03:16or whatever you are doing, the chance of infection is less

03:20Now, suppose I checked the oxygen saturation of this patient

03:24and it was less than 90

03:27I applied the pulse oximeter

03:29and left it

03:32This patient is having fever and his oxygen is also less

03:35So, what will I do?

03:36I will keep applying the pulse oximeter

03:38and such a cylinder is available in the market

03:41It is refilled for Rs. 400 per month

03:46There is a knob in this

03:48If you turn this knob on

03:51it shows the liters

03:54Generally, on 5 liters

03:56whenever it happens

03:57we can apply such small nasal prongs to the patient

04:07We can apply such nasal prongs

04:09After applying the nasal prongs

04:11see the reading of the pulse oximeter

04:14If it is not more than 90

04:16and the patient is still having fever

04:18then you can remove this nasal prong

04:20and buy this big mask from the market

04:24If you apply this mask on the cylinder

04:27then oxygen can be given to a patient up to 10 liters

04:30Then you check the oxygen

04:31Wait for 5 minutes after giving oxygen

04:33Even after this, if the oxygen is not improving

04:36then you have the last option

04:38High Flow Oxygen Mask

04:40This mask is attached with a balloon

04:43As soon as we connect it with oxygen

04:45it gives extra oxygen

04:51In this, you can fill up to 15 liters of oxygen

04:56After filling this balloon

04:58when you apply it

05:00the patient's fever or oxygen saturation improves

05:03After applying this

05:05you keep checking the saturation

05:07When it is above 90, leave it as it is

05:10During the day, these people can wear the mask for 3 to 4 hours

05:14and as soon as they start having fever

05:16they can wear a small mask

05:18If possible

05:20keep the bed height a little higher while sleeping

05:24For the safety of this room

05:27so that the infection does not go out

05:29use home-made phenyl or any antiseptic solution

05:32to clean the house

05:34When you come out of this room

05:36the first thing you have to do

05:38is to remove the mask and throw it away in 10 days

05:41and do not go out with this gown

05:43After removing the gown

05:46leave the mask and shields in the same room

05:52wash your hands

05:54wash your hands completely

05:56and come out of this room

05:58If these people are served like this for 14 days

06:01then they improve

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