The Union Health Ministry advised in a revised guideline that the Covid-19 positive patients who are in home isolation should use triple-layer medical mask at all times.
According to the report, the room where a Covid-19 positive or infected person is staying should be kept ventilated and all windows should be kept open. The discard mask after 8 hours of use or earlier if they become wet or visibly soiled. In the event of a caregiver entering the room, both caregiver and patient may consider using an N95 mask. The masks should be discarded only after disinfecting them with 1 % sodium hypochlorite.
The fresh guidelines further stated that the patients must keep track of their temperature, heart rate, oxygen, breathing difficulties if any and the patient is advised to drink a lot of fluids. Elderly patients aged more than 60 years and those with co-morbid conditions such as hypertension, diabetes, heart disease, chronic lung/liver/ kidney disease, cerebrovascular disease etc shall only be allowed home isolation after proper evaluation by the treating medical officer.
The patients may perform warm water gargles or take steam inhalation twice a day. If fever is not controlled with a maximum dose of Tab. Paracetamol 650mg four times a day, consult the treating doctor who may consider advising other drugs like a non-steroidal anti-inflammatory drug (NSAID) (ex: Tab. Naproxen 250 mg twice a day).
Consider Tab Ivermectin (200 mcg/kg once a day, to be taken empty stomach) for 3 to 5 days. Inhalational Budesonide (given via inhalers with spacer at a dose of 800 mcg twice daily for 5 to 7 days) to be given if symptoms (fever and/or cough) are persistent beyond 5 days of disease onset.
As Oral steroids, Remdesivir is not for home administration as per the fresh guidelines. And after at least 10 days of isolation, a patient can discontinue it when there is no fever for three days and further there is no need for testing after the home isolation period is over.
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