The Curbsiders Internal Medicine Podcast #332 Inpatient Covid Management with Dr. Nathan Erdmann
13 snips
May 2, 2022 AI Snips
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Transcript
Episode notes
Trend Inflammatory Markers, Don’t Rely On One Value
- Use a panel of inflammatory markers (CRP, ferritin, d-dimer, Ct when available) to monitor trajectory, not as sole decision points.
- Repeat markers over 48–72 hours to detect rising trends that warrant escalation.
Start Remdesivir And Steroids With Hypoxia
- For patients who develop oxygen requirement, start antiviral therapy (remdesivir) and give corticosteroids for respiratory involvement.
- Treat the viral replication phase and inflammatory lung disease concurrently when respiratory signs appear.
Tailor Remdesivir Duration To Immune Status
- Remdesivir is typically used as a five-day course in most hospitalized patients; extend to ten days for significant immunosuppression.
- Duration decisions should factor in immune status and clinical trajectory.