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Treatment Guidelines for Covid-19: No Solid Evidence

Posted

Specializes in Education, FP, LNC, Forensics, ED, OB. Has 30 years experience.

Quote

The federal agency led by Dr. Anthony Fauci issued guidelines on Tuesday that stated there is no proven drug for treating coronavirus patients, a finding that essentially reinforces Fauci’s dissent from President Donald Trump’s repeated promotion of certain drugs without evidence to support their use.

The report echoed what frustrated doctors already know: Not enough is known about the highly infectious virus or how to combat it.

Read in its entirety:

New US treatment guidelines for COVID-19 don't see much progress

Daisy4RN

Specializes in Travel, Home Health, Med-Surg. Has 20 years experience.

It is a shame we dont have drugs that seem to work good yet. I have seen interviews with MD's that have used both plaquenil with Z-pack as well as Remdesivior that have had good results with those drugs but of course it is ancendotal at this point. I am not sure this "reinforces Fauci's dissent from Trump" as Fauci stated at that time that he would give Plaquenil to one of his patients if it was called for at that time. Everyone was hopefull of the drug at the time but of course as a MD he also had an "official" opinion on the matter (just like we do as nurses).

6 minutes ago, herring_RN said:

It is excellent getting accurate information!

This was in another thread, but I think it is important enough for people to read and think about. I bought a pulse oximeter yesterday because of this physicians opinion.

https://allnurses.com/jama-management-critically-ill-adults-t718624/?do=findComment&comment=7598864

Thanks for the article, I still have my pulse Ox, I guess I will dig it out!

32 minutes ago, Daisy4RN said:

It is a shame we dont have drugs that seem to work good yet. I have seen interviews with MD's that have used both plaquenil with Z-pack as well as Remdesivior that have had good results with those drugs but of course it is ancendotal at this point. I am not sure this "reinforces Fauci's dissent from Trump" as Fauci stated at that time that he would give Plaquenil to one of his patients if it was called for at that time. Everyone was hopefull of the drug at the time but of course as a MD he also had an "official" opinion on the matter (just like we do as nurses). 

think you meant remdesivir, perhaps?? While it did have optimistic results at UoC, that was a very limited trial and two patients did pass.. We are miles away from anything clinically conclusive. https://www.washingtonpost.com/business/gileads-remdesivir-can-hardly-live-up-to-the-hype/2020/04/17/ae4b9388-80cd-11ea-84c2-0792d8591911_story.html

While I'm all for fast-tracking in desperate situations when the subjects are amiable, opinion should have nothing to do with prescribing drugs. Proven clinical effectiveness weighted against known risks should.

Marisette, BSN, RN

Specializes in Registered Nurse. Has 28 years experience.

Excellent Article. Thanks.