COVID-19 frequently asked inpatient questions: Difference between revisions

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{{Frequently Asked Inpatient Questions}}
{{Frequently Asked Inpatient Questions}}
To go back to the COVID-19 project, click [[COVID-19 project|'''here''']].
'''To visit COVID-19 Project page, click [[COVID-19 project|here]]'''.<br>
'''To visit COVID-19 homepage, click [[COVID-19|here]]'''.<br>
{{CMG}}{{AE}}{{GDS}}{{Aisha}}{{HAR}}{{RAB}}{{Nuha}}{{IF}}}{{SaraH}}


{{CMG}}{{AE}}{{GDS}}{{Aisha}}{{HAR}}{{RAB}}{{Nuha}}{{IF}}}
{{SK}} Novel coronavirus, covid-19, COVID-19, SARS-CoV-2, Wuhan coronavirus, severe acute respiratory syndrome coronavirus 2, 2019-nCoV, COVID, coronavirus disease, novel coronavirus
==Treatment Based Questions==
====I read about the retraction of the two articles that halted the use of hydroxychloroquine in COVID-19 patients, can I currently receive this medication if infected?====
====Does every patient with a positive COVID-19 test need to be admitted to the hospital?====
====What are the chances of recovery in a hospital admitted COVID-19 patient?====
====Are antibiotics effective in preventing or treating COVID-19?====
====What anti-viral medications are available to treat COVID-19?====
====Should I stop my ACE Inhibitors and ARBs while on admission for COVID-19?====


==Complications Based Questions==
'''Sources of content-''' [https://www.cdc.gov/coronavirus/2019-ncov/index.html CDC], [https://www.who.int/emergencies/diseases/novel-coronavirus-2019 WHO], and [https://www.fda.gov/emergency-preparedness-and-response/counterterrorism-and-emerging-threats/coronavirus-disease-2019-covid-19 FDA].
====What population is most at risk for severe disease from COVID-19?====
====What risk factors result in severe complications from COVID-19?====
====Will I be placed on a ventilator?====
====What systems other than the Respiratory system can be involved?====
====Does prolonged ventilation in hospitalized patients worsen the outcome of COVID-19?====
==Co-Morbidity Based Questions==


=== <u>Patients with Hypertension</u> ===


====Should I stop my ACE Inhibitors and ARBs while on admission for COVID-19?====
==[[Treatment Based Questions]]==
 
==[[Complications Based Questions]]==
=== <u>Patients with Asthma</u> ===
==[[Co-Morbidity Based Questions]]==
 
==[[Hospital Discharge Related Questions]]==
====If I experience an Asthma exacerbation, should that exacerbation be treated any differently to reduce the risk of COVID-19?====
==[[Re-Infection Related Questions]]==
 
==[[Pregnancy Related Questions]]==
==== Are any changes recommended to my treatment plan if a paitent with asthma has COVID 19? ====
==[[Pediatrics Related Questions]]==
 
==[[Visitors Related Questions]]==
=== <u>Patients currently Undergoing Hemodialysis</u> ===
==[[General In-Patient Questions]]==
 
==[[Management of Dead Bodies from COVID-19]]==
===Can I continue receiving Hemodialysis in a hospital where other COVID-19 patients are treated?===
==[[General Health Care Practitioner (HCP) Questions]]==
 
=== <u>Cancer Patients</u> ===
 
==== Can/Should Cancer surgery be delayed? What about radiation therapy? ====
 
==== Should treatment that suppresses my immune system be stopped or delayed? ====
 
==== Are the support groups or activites still available in the hospital? ====
 
==== Should I be taking an antiviral medication such as Tami flu for protection? ====
 
==Hospital Discharge Related Questions==
====I no longer have symptoms but my tests still came back positive for COVID-19, can I be discharged?====
====If after discharge I show new symptoms of COVID-19, should I be isolated and tested again?====
====If after discharge, a close contact test positive, should I self-isolate again?====
====After I have been discharged, should I continue to wear a face mask?====
====After discharge, how soon can I get back to my job?====
====After discharge can I use public places and transportation?====
====What can I expect after I leave the hospital?====
 
==Re-Infection Related Questions==
====Do I become immune after I have recovered from COVID-19?====
====Is re-infection worse than the initial infection?====
====Will a re-infected person show the same symptoms as the initial infection?====
====Are clinically recovered persons infectious to others if they test persistently or recurrently positive for SARS-COV-2 RNA?====
 
==Pregnancy Related Questions==
====If I deliver in the hospital will that increase my chances or my baby's chances of contracting COVID-19?====
====Should intrapartum fever be considered as a possible sign of COVID-19 infection?====
====I am currently pregnant and hospitalized due to COVID-19, is my unborn child infected?====
====What is the guidance available for labor and delivery Health Care Personnel with potential exposure in a healthcare setting to patients with COVID-19 infection?====
====Are Pregnant healthcare personnel at increased risk for adverse outcomes if they care for patients with COVID-19 infection?====
====Can I proceed with a scheduled cesarean delivery if hospitalized with COVID-19?====
====Are glucocorticoids contraindicated in pregnant patients with COVID-19?====
====Are pregnant women more susceptible to infection or at increased risk for severe illness, morbidity, or mortality with COVID-19?====
====I have heard that some hospitals are testing all women for COVID-19 who arrive at the hospital for labor—even women without any symptoms. Will I be tested?====
====If I contract COVID-19, will I still be able to breastfeed?====
In the limited studies available, COVID-19 has not been found in breast milk. However, your baby could get the virus from contact with you or other caregivers. The CDC recommends breastfeeding or feeding expressed breast milk to your baby while taking precautions to avoid spreading the virus to your baby. Breast milk protects babies from getting sick and is the best source of nutrition for most babies. Breastfeeding helps strengthen your baby’s immune system because breast milk contains antibodies and other important components.
 
If you are sick or experiencing symptoms, you should take all possible precautions to protect your baby, including washing your hands before and wearing a facemask when you touch your baby. You may breastfeed directly at the breast or express breast milk for a healthy caregiver to feed to your baby.
 
====How many people can be present in the room during my birth?====
The CDC has advised hospitals to limit the number of people allowed in hospitals, including visitors and non-essential staff to reduce exposure of patients and health care workers, to COVID-19. During labor, hospitals have generally made exceptions to allow a support person as long as they are not experiencing symptoms associated with COVID-19.
 
Talk to your facility or health care provider about the policies where you are going to deliver your baby and if the facility is allowing any exceptions on a case-by-case basis. Decide in advance who your primary support person would be and identify a secondary person who can be available if your primary support person is experiencing symptoms of COVID-19. You can also make plans with your provider about connecting with additional support people through platforms such as FaceTime, Google Hangouts, or Zoom.
 
====If I have COVID-19 at the time of my birth, will my baby be able to stay with me?====
CDC recognizes that the ideal setting for the care of a healthy, full-term newborn during the birth hospitalization is within the mother’s room. Temporary separation of the newborn from a mother with suspected or confirmed COVID-19 should be considered to reduce the risk of spreading the virus to the newborn. The risks and benefits of temporary separation of the mother from her newborn should be discussed with the mother by her healthcare team. Decisions about temporary separation should be made with respect to the mother’s wishes. If the mother chooses a temporary separation to reduce risk of spreading the virus and would like to breastfeed, she should express breast milk and have a healthy caregiver who is not at high-risk for severe illness from COVID-19 bottle feed the newborn the expressed breast milk if possible.
 
If the mother with suspected or confirmed COVID-19 does not choose temporary separation in the hospital, she should take precautions to avoid spreading the virus to the newborn, including washing her hands and wearing a cloth face covering when within 6 feet of her newborn. The newborn should be kept ≥6 feet away from the mother, as much as possible, including the use of physical barriers (e.g., placing the newborn in an incubator).
 
====Can COVID-19 be transmitted via breastmilk?====
The limited studies on breastfeeding women with COVID-19 have not found the virus in breast milk. The main concern is the parent or caregiver infecting the baby through respiratory droplets. Precautions should be taken to keep your baby healthy, including washing hands before touching and feeding your baby and wearing a face mask if you are experiencing symptoms or confirmed positive with COVID-19.
 
====If I am separated from my baby after birth due to COVID-19, can I breastfeed?====
 
If you are temporarily separated from your baby after birth because you are sick with COVID-19 and you intend to breastfeed, you should request lactation support from your hospital and an electric breast pump to help you establish and maintain your milk supply. Expressed breast milk should be fed to your baby by a healthy caregiver. Breast milk protects babies from getting sick and helps strengthen your baby’s immune system.
 
==Pediatrics Related Questions==
====My child has congenital heart disease, is he at increased risk of COVID-19?====
====Are children with underlying conditions at increased risk of hospitalization?====
====I am currently hospitalized due to COVID-19, can I breastfeed my infant child?====
====What is KAWASAKI disease? What is the association with COVID-19?====
====What is a multisystem inflammatory syndrome? What is the association with COVID-19?====
 
==== Should routinely recommended Hepatitis A and B vaccines continue to be administered to the children? ====
 
==== Should vaccinations for HBV exposed infants be continued during the COVID 19 pandemic? ====
 
==Visitors Related Questions==
====Can I have visitors while I’m in the hospital?====
====Is there anything I can to do to help others who have COVID-19?====
 
==== I would like to accompany my family member or friend for their procedure or appointments I am concerned they will need my support to cope or understand the information being shared with them by the healthcare team ====
 
==General In-Patient Questions==
====Does being hospitalized with other COVID-19 patients worsen my outcome?====
====What are the diet recommendations if I get hospitalized?====
====What can I expect while I’m in the hospital?====
====When can I leave the hospital?====
====Is blood been tested for COVID-19 before blood transfusion?====
====Do wastewater & sewage workers need additional protection when handling untreated waste from hospitals with COVID-19 patients?====
 
==Management of Dead Bodies from COVID-19?==
====Do any special procedures exist for the management of bodies of persons who died from COVID-19?====
 
 
==Health Care Practitioner (HCP) questions==
====I have underlying health conditions, are there work restrictions in place for me?====
====Is post-exposure prophylaxis currently available, and when can it be used?====
====Can routine vaccinations still be administered to patients?====
====Should I use face mask/respirator while taking care of pregnant patients with known/suspected COVID-19 infection?====
====I am a Health Care Practitioner living with someone who is at a higher risk of severe illness from COVID-19 infection. What precautions should I take?====
====I am pregnant and a health care worker. Can I work with patients who are potentially infected with COVID-19?====
====Whom should healthcare providers notify if they suspect a patient has COVID-19?====
 
==Sources==

Latest revision as of 17:13, 7 July 2020