Doctor Doug’s Medical Library
This information and other health topics
can be found at: DoctorDoug.com
This information and other health topics
can be found at: DoctorDoug.com
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COVID CHECKLIST FOR THE DOUBLE OR TRIPLE VACCINATED:
I HAVE GOTTEN 2 OR 3 VACCINES…AND HAVE BEEN DIAGNOSED WITH COVID (OMICRON LIKELY) …. NOW WHAT DO I DO?????
THIS IS CHECKLIST FOR THOSE OVER 50 (THIS LIST APPLIES TO THE YOUNGER SET BUT THE LEVEL OF CONCERN IS MUCH LESS):
TIME COURSE/EXPECTATIONS:
COVID COURSE:
THREE PHASES OF COVID:
JAILBIRD: STRICT QUARANTINE: 5 DAYS FROM DATE OF FIRST SIGNIFICANT SYMPTOMS IF OBVIOUS OR FROM DATE OF TESTING IF UNCERTAIN BASED ON SYMPTOMS (MUST ALSO BE FEVER FREE FOR 24 HOURS)
PAROLE BIRD: DAY 6-10. MASKING WHEN IN THE PRESENCE OF OTHERS INSIDE (NOT REQUIRED OUTSIDE IF SPACIOUS.) DO NOT SHARE THE SAME BEDROOM AT NIGHT.
FREE BIRD: DAY 11+ NO RESTRICTIONS.
No testing is needed to prove you are cleared!
QUARANTINING:
COVID HOME KIT:
MANY BRANDS ARE FINE…HERE IS ONE EXAMPLE:
2 PULSE OXIMETER: TO CHECK OXYGEN LEVELS.
MANY BRANDS ARE FINE…HERE IS ONE EXAMPLE:
OTHER ITEMS FROM THE HOME MEDICAL KIT (SEE BELOW FOR USE OF PRODUCTS):
Most Common Symptoms
They consist of the same set of symptoms as the common cold/rival respiratory syndrome, but they are worse.
Common/Hallmark symptoms:
· High fever (over 100.4, but can range from 99’s to 104+)
· Fatigue
· Cough
Other symptoms can include milder issues:
· Loss of Smell and/or Taste
· Nausea without Vomiting
· Sore Throat
· Aching muscles throughout the body
· Headache
· Occasional diarrhea …
· Nasal congestion (occasional)
Aches and Pains and Fever:
· Tylenol 650 – 1000mg four times per day is preferred for treating these symptoms, but if not working well, you may use:
· Advil (Ibuprofen 200mg), 2 – 3 tablets….2 – 3 x per day or Aleve (naproxen 220mg), 1 – 2 tablets…1 – 2 x per day,
· Drink good amounts of clear liquids (anything you can see through)
Sore Throat:
· Saltwater gargling
1. Dissolve 1 teaspoon of salt in a glass of warm water.
2. Gargle for 15 seconds and spit.
3. Repeat during the day every 2 – 4 hours to relieve pain.
· Pain relief medications: Advil (Ibuprofen 200mg), 2 – 3 tablets….2 – 3 x per day or Aleve (naproxen 220mg), 1 – 2 tablets…1 – 2 x per day, or Tylenol 650 – 1000mg four times per day.
DIET RECOMMENDATIONS TO PREVENT DEHYDRATION IN ILLNESS:
Preventing dehydration is of utmost importance in an acute illness.
Clear liquids (any liquid that light can easily shine through) are the best liquids to use.
These include:
Sipping liquids …sip, sip, sip….and pushing the fluids progressively with time is the most important treatment provided. Focus on this above all else!
Foods: Maintaining good dietary intake is important during the acute phase of illness, so long as appetite is present. Do not push foods if uninterested…focus on liquids. That said, if appetite remains acceptable, food can consist of anything that interests your appetite and is tolerable. Healthier choices are best, but if you want a hamburger…go ahead! Easy to digest foods include:
Cough:
· Steam: Either in the form of a hot, steamy shower or using a hot pot of water and covering with a towel and put your head under the towel. Both methods will provide humid air to the irritated air passages and soothe the cough.
· Cough Syrup: Robitussin DM or Delsym cough syrup can be used to suppress cough.
· You may require a prescription cough syrup with Codeine. Contact me if that is the case.
Sinus Congestion and Drainage (RARE SYMPTOM):
· Use a decongestant such as Sudafed 30mg, 1 – 2 pills up to four times per day, or use a drying antihistamine such as Chlortrimeton 4mg, up to four times per day. Other cold medications (over the counter) can be used.
· Claritin, Zyrtec, Allegra will not work for congestion symptoms from an infection. Do Not Use.
Nausea Treatment:
This is the most difficult issue to treat at home as there is very little one can do to settle the stomach. Coca-Cola with the carbonation eliminated (Flat Coke), Ginger Ale, or Ginger Root…. can be tried, but these are often inadequate, and the key to getting the stomach to settle is getting a good nausea medication.
If nausea is persistent, then calling for a prescription medication is often a good idea. Phenergan (Promethazine), Compazine (prochlorperazine), Zofran (Ondansetron) are very effective in treatment. Sometimes we use them in combination either as a pill or a suppository.
The KEYS are:
1. Settling the Stomach…so that liquids can be taken
2. Focusing on Liquids…so that dehydration does not set in
3. Eating light foods… if possible (to provide energy for healing). This is not a requirement for healing from an acute GI illness; so, do not feel that the sick person needs to eat food. The only requirement is liquid intake!
When to Seek Medical Assistance
• There is no medication to treat this virus, so the resolution takes time.
Worsening symptoms/Signs of Complications:
• If you are getting significantly short of breath please be in touch. If progressive and worsening, you need to be seen and hospitalized. Best to go the ER if shortness of breath is a significant symptom
COVID CHECKLIST FOR THE UNVACCINATED:
I HAVE BEEN DIAGNOSED WITH COVID…. NOW WHAT DO I DO?????
THIS IS CHECKLIST FOR THOSE OVER 50 (THIS LIST APPLIES TO THE YOUNGER SET BUT THE LEVEL OF CONCERN IS MUCH LESS):
TIME COURSE/EXPECTATIONS:
COVID COURSE:
TWO PHASES OF COVID:
JAILBIRD: STRICT QUARANTINE: 10 DAYS FROM DATE OF FIRST SIGNIFICANT SYMPTOMS IF OBVIOUS OR FROM DATE OF TESTING IF UNCERTAIN BASED ON SYMPTOMS (MUST ALSO BE FEVER FREE FOR 3 DAYS AS WELL)
FREE BIRD: DAY 11 AND BEYOND. NO RESTRICTIONS.
Although I do not recommend testing to prove the virus has cleared after infection, if you have testing and are clear, then the above protocol is not applied.
QUARANTINING:
COVID HOME KIT:
MANY BRANDS ARE FINE…HERE IS ONE EXAMPLE:
2 PULSE OXIMETER: TO CHECK OXYGEN LEVELS.
MANY BRANDS ARE FINE…HERE IS ONE EXAMPLE:
OTHER ITEMS FROM THE HOME MEDICAL KIT (SEE BELOW FOR USE OF PRODUCTS):
HYDROXYCHLOROQUINE IS NOT RECOMMENDED TO PREVENT OR TREAT COVID AT THIS TIME. THE DATA DOES NOT SUPPORT Its USE.
CARING FOR YOURSELF IF YOU THINK YOU MAY HAVE COVID OR IF YOU HAVE BEEN DIAGNOSED WITH COVID:
Most Common Symptoms
They consist of the same set of symptoms as the common cold/rival respiratory syndrome, but they are worse.
Common/Hallmark symptoms:
· High fever (over 100.4, but can range from 99’s to 104+)
· Fatigue
· Cough
Other symptoms can include milder issues:
· Loss of Smell and/or Taste
· Nausea without Vomiting
· Sore Throat
· Aching muscles throughout the body
· Headache
· Occasional diarrhea …
· Nasal congestion (occasional)
Symptomatic treatment for the most bothersome symptoms
Aches and Pains and Fever:
· Tylenol 650 – 1000mg four times per day is preferred for treating these symptoms, but if not working well, you may use:
· Advil (Ibuprofen 200mg), 2 – 3 tablets….2 – 3 x per day or Aleve (naproxen 220mg), 1 – 2 tablets…1 – 2 x per day,
· Drink good amounts of clear liquids (anything you can see through)
Sore Throat:
· Saltwater gargling
1. Dissolve 1 teaspoon of salt in a glass of warm water.
2. Gargle for 15 seconds and spit.
3. Repeat during the day every 2 – 4 hours to relieve pain.
· Pain relief medications: Advil (Ibuprofen 200mg), 2 – 3 tablets….2 – 3 x per day or Aleve (naproxen 220mg), 1 – 2 tablets…1 – 2 x per day, or Tylenol 650 – 1000mg four times per day.
DIET RECOMMENDATIONS TO PREVENT DEHYDRATION IN ILLNESS:
Preventing dehydration is of utmost importance in an acute illness.
Clear liquids (any liquid that light can easily shine through) are the best liquids to use.
These include:
Sipping liquids …sip, sip, sip….and pushing the fluids progressively with time is the most important treatment provided. Focus on this above all else!
Foods: Maintaining good dietary intake is important during the acute phase of illness, so long as appetite is present. Do not push foods if uninterested…focus on liquids. That said, if appetite remains acceptable, food can consist of anything that interests your appetite and is tolerable. Healthier choices are best, but if you want a hamburger…go ahead! Easy to digest foods include:
Cough:
· Steam: Either in the form of a hot, steamy shower or using a hot pot of water and covering with a towel and put your head under the towel. Both methods will provide humid air to the irritated air passages and soothe the cough.
· Cough Syrup: Robitussin DM or Delsym cough syrup can be used to suppress cough.
· You may require a prescription cough syrup with Codeine. Contact me if that is the case.
Sinus Congestion and Drainage (RARE SYMPTOM):
· Use a decongestant such as Sudafed 30mg, 1 – 2 pills up to four times per day, or use a drying antihistamine such as Chlortrimeton 4mg, up to four times per day. Other cold medications (over the counter) can be used.
· Claritin, Zyrtec, Allegra will not work for congestion symptoms from an infection. Do Not Use.
Nausea Treatment:
This is the most difficult issue to treat at home as there is very little one can do to settle the stomach. Coca-Cola with the carbonation eliminated (Flat Coke), Ginger Ale, or Ginger Root…. can be tried, but these are often inadequate, and the key to getting the stomach to settle is getting a good nausea medication.
If nausea is persistent, then calling for a prescription medication is often a good idea. Phenergan (Promethazine), Compazine (prochlorperazine), Zofran (Ondansetron) are very effective in treatment. Sometimes we use them in combination either as a pill or a suppository.
The KEYS are:
1. Settling the Stomach…so that liquids can be taken
2. Focusing on Liquids…so that dehydration does not set in
3. Eating light foods… if possible (to provide energy for healing). This is not a requirement for healing from an acute GI illness; so, do not feel that the sick person needs to eat food. The only requirement is liquid intake!
When to Seek Medical Assistance
• There is no medication to treat this virus, so the resolution takes time.
Worsening symptoms/Signs of Complications:
• If you are getting significantly short of breath please be in touch. If progressive and worsening, you need to be seen and possibly hospitalized. Best to go the ER if shortness of breath is a significant symptom
How Long to Recover
• The COVID is a viral infection that will generally take from 3–7 days to develop, 3-7 days to improve and then from 3-7 days to completely resolve.