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Acute COVID, What We're Seeing

Disasters   (7,020 Views | 54 Replies)

MunoRN has 10 years experience as a RN and specializes in Critical Care.

3 Followers; 68,172 Profile Views; 6,593 Posts

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SleepyRN specializes in Acute care.

5 Posts; 26 Profile Views

17 minutes ago, MunoRN said:

We've weaned a few from vents, the shortest time on the vent I think has been just under 3 weeks.  I should warn this isn't necessarily a scientific observation, but the ones that seem to have improved the quickest have been those able to get Remdesivir.  

MunoRN, have you seen any patients started on hydroxychloroquine/Plaqenil? Does it seem to be helping? 

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244 Posts; 1,348 Profile Views

Why am I seeing videos of doctors and nurses walking all over their units with PPE and gloves on? Is it the dire shortage? I see them touching door handles, etc with their gloves. Also, I see them walking outside the hospital wearing PPE. I would hope it's clean!?!

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MunoRN has 10 years experience as a RN and specializes in Critical Care.

3 Followers; 6,593 Posts; 68,172 Profile Views

13 minutes ago, SleepyRN said:

MunoRN, have you seen any patients started on hydroxychloroquine/Plaqenil? Does it seem to be helping? 

That's been sort of back and forth, there's been an ongoing debate based on supply, evidence, limit it to a clinical trial? etc.  I wouldn't say the effect has seemed as apparent as with Remdesivir, although that might also just be seeing something that isn't actually there.

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MunoRN has 10 years experience as a RN and specializes in Critical Care.

3 Followers; 6,593 Posts; 68,172 Profile Views

16 minutes ago, 2BS Nurse said:

Why am I seeing videos of doctors and nurses walking all over their units with PPE and gloves on? Is it the dire shortage? I see them touching door handles, etc with their gloves. Also, I see them walking outside the hospital wearing PPE. I would hope it's clean!?!

A COVID unit is basically one big isolation room.  

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Lilysart has 40 years experience and specializes in infusion.

5 Posts; 15 Profile Views

On 3/26/2020 at 1:20 PM, 2BS Nurse said:

We've seen timelines similar to what China was reporting; about 10 days from symptom onset to needing ICU care, then critically ill for weeks, the shortest recovery we've seen is 3 weeks of aggressive life support.  Time from symptoms onset to death has ranged from 2 to 8 weeks in China.  So it's not just the number of patients that will require vents and other equipment, it's the length of time they will need them for.

This explains the discrepancy between infected, deaths and recovered. Many are still on life support then.

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Kitiger has 40 years experience as a RN and specializes in Private Duty Pediatrics.

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I'm confused. Do we or do we not have enough vents?

 

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innocence2020 has 25 years experience as a ADN, BSN and specializes in ICU.

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On 3/19/2020 at 3:29 PM, MunoRN said:

 

Some we use as runners, we've ripped the white boards off the walls and use them as shopping lists when we're in the room, we write what we need on the board and face it towards the window into the hallway, as the runners (spare non-ICU nurses) come around they get what's on our  ...shopping list  

Brilliant idea.   you can leave it propped up at the window and go about your business in the room.

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