Jim Wright
speaker
217 appearances
1 recordings
1 series
first heard Apr 2020
last heard Apr 2020
Jim Wright’s voice in public audio — every appearance, attributed to the second.
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Appearances
But I'm more of the thought that that's simply sepsis from pneumonia or UTI, and they're an asymptomatic carrier.
But we have seen, you know, ultra mental status, hypotension,
Maybe with or without fever, without really significant respiratory symptoms.
That's been a minority.
So I tend to think that's just asymptomatic carriers with the usual prevalence of sepsis in our facility.
Not many of those.
Yeah.
which is all we're doing, of course, is symptom management and vigilance for secondary pneumonia.
We can at least do something about that.
So yes, we have, thanks for that question, we have seen that for many people, bronchospasm is a
an associated symptom and so we have seen rapid acting bronchodilators help with symptoms.
We have paid very close attention to CDC guidelines about limiting the use of nebulizer treatment in the facility over concerns of aerosolizing the virus but we have not
given a blanket prohibition against using nebulizers because some people simply do better and so we kind of use a informal strategy to assess people that might do okay with an MDI with a spacer and my PA is very good about watching carefully and making sure that the patient is actually able to use use that of course the nurse is doing it but they have to be able to breathe in at the right time even with a spacer
So we started with nebulizers, the usual approach that we do for people with bronchospasm, but we could have been more prepared about not using it.
We probably use nebulizers a little bit too much.
But anyway, bronchospasm is common.
We have seen benefit in prednisone, but again, there is concern that extended use of steroids can increase the...
potential for viral replication.
They've seen that in other similar viruses.
So we will give a steroid burst maybe one or two days and then reassess and, you know, either oral 60 milligrams of prednisone or, you know, solumedrol IM.
Showing 121–140 of 217 · page 7 of 11
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