COVID 19 CASE SCENARIO 1

Chemistry Section:
PATIENT PROFILE:
NAME: PATIENT J
AGE: 75
SEX: MALE
ADDRESS: NEGROS OCCIDENTAL
NATIONALITY: FILIPINO
RELIGION: ROMAN CATHOLIC
CIVIL STATUS: MARRIED
BIRTHDAY: DEC. 22, 1946
DATE OF ADMISSION:
OCT 8, 20/ 7:20 PM
Complete Blood Count:
- FIVE DAYS PRIOR TO ADMISSION,
PATIENT HAD A COUGH AND FEVER. THE
PATIENT HAD AN ONLINE CONSULTATION
AND WAS GIVEN MEDICATIONS BUT
REPORTED TO HAVE NO RELIEF. TWO
DAYS PRIOR TO ADMISSION, PATIENT
MANIFESTED DIFFICULTY OF
BREATHING. PATIENT CAME IN TO ER-
ISOL WITH CC OF FEVER, COUGH AND Chest Xray Result: Bilateral Consolidated
DOB.
Opacities
VITAL SIGNS:
T: 37.8 C Medications:
P: 63 BPM Hydrocortisone 20mg IV now
R: 34 CPM Pulmodual 4 puffs now then 2 puffs QID
BP: 130/90 MMHG Dexamethasone 6mg IV - OD
Ceftriaxone 2g IV Drip - Q24
02SAT: 62% -> 91% (O2 15LPM NRB) Azithromycin 500mg 1 tab - OD
NAC 600mg in 50cc H20 - TID
Laboratory results: Levocetirizine + Montelukast 10/5 1 tab
RTPCR - Positive ODHS

Arterial Blood Gas: PNSS x KVO

Diet: NPO temporarily
Insert Foley Catheter
Standby Intubation

Refer accordingly

Procalcitonin: 0.840 ng/ mL

C-Reactive Protein: 112.07mg/L
Ferritin: 2515
SUSPECTED COVID 19 CASE SCENARIO 2
Continuation:
Mrs. A is a 60 year old, female, married
patient who came in a hospital with
complaints of fever a night prior to
admission (PTA) last December 15, 2020 at
12:30 pm. She had runny nose 3 days ago
(December 12, 2020) right
after the admission of her husband who is
positive to Covid. She consulted her family
physician of the signs & symptoms on the
1st day she had a runny nose and was given
azithromycin and immune boosters.

On her 3rd day, she had a fever that night Medications:

and took Alvedon every 4 hours. She called Remdesivir 1g IV drip OD x 10 days
up her doctor and advised her to check her Hydrocortisone 20mg IV now then Q8
O2 Dexamethasone 6mg IV now
saturation which is 65%. Immediately she was NAC 600mg in 50cc H20 - TID
adviced to call for an ambulance for hospital Levocetirizine + Montelukast 1 tab ODHS
admission & take Clovix 75 mgs (clopidogrel)
immediately. PNSS IL x 60cc/hr
NPO temporarily
Assessment: Vital signs Qhourly
Refer for desaturation
- BP ranges from 90-100/60-70 Complete bed rest
- PR 75-80 bpm Follow up RTPCR result
- IV fluid of Plain NSS 1 liter x 8 hours. Transfer to isol
- Hi-Flow vent at 6 liters/minute
(increased O2Sat to 90%)
- Temp 38 degrees centigrade
- RR of 25 breaths.min

Labs and Diagnostic: