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instructions.html
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<!DOCTYPE html>
<html>
<head>
<title>Covid Help Service</title>
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<a class="nav-link active " href="instructions.html"><h5>Instructions For Mild COVID-19 Cases</h5></a>
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<a class="nav-link" href="index.html"><h5>Home</h5> <span class="sr-only">(current)</span></a>
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<h3>Asymptomatic cases or mild cases of COVID-19</h3>
<p>
Asymptomatic cases; mild cases of COVID-19
The asymptomatic cases are laboratory confirmed cases not experiencing any symptoms and having oxygen saturation at room air of more than 94%. Clinically assigned mild cases are patients with upper respiratory tract symptoms (&/or fever) without shortness of breath and having oxygen saturation at room air of more than 94%.
</p>
<br>
<div style="padding-top: 10px;background-color: #478ac9;width: 80%;margin: auto; "></div>
<br>
<h3>Instructions for the patient</h3>
<ul>
<li>
Patient must <b>isolate themselves</b> from other household members, stay in the identified room and <b>away from other people in home </b>, especially elderlies and those with co-morbid conditions like hypertension,cardiovascular disease, renal disease etc.
</li>
<li>
The patient should be kept in a well-ventilated room with cross ventilation and windows should be kept open to allow fresh air to come in.
</li>
<li>
Patient should at <b>all times</b> use triple layer medical mask. Discard mask after 8 hours of use or earlier if they become wet or visibly soiled. In the event of care giver entering the room, both care giver and patient may consider using N 95 mask
</li>
<li>
Mask should be discarded only after disinfecting it with 1% Sodium Hypochlorite.
</li>
<li>
Patient must take rest and drink lot of fluids to maintain adequate hydration.
</li>
<li>
Follow respiratory etiquettes at all times.
</li>
<li>
Frequent hand washing with soap and water for at least 40 seconds or clean with alcohol-based sanitizer.
</li>
<li>
<b>Don’t share personal items</b> with other people in the household.
</li>
<li>
Ensure cleaning of surfaces in the room that are touched often (tabletops, doorknobs, handles, etc.) with <b>1% hypochlorite solution</b>.
</li>
<li>
Self-monitoring of <b>blood oxygen saturation</b> with a pulse oximeter is strongly advised.
</li>
<li>
The patient will self-monitor his/her health with <b>daily temperature monitoring </b>and report promptly if any deterioration of symptom is noticed.
</li>
</ul>
<br>
<div style="padding-top: 10px;background-color: #478ac9;width: 80%;margin: auto; "></div>
<br>
<h3>When to seek medical attention</h3>
<p>Patient / Care giver should <b>keep monitoring their health</b>. Immediate medical attention must be sought if serious signs or symptoms develop. These could include -</p>
<ul>
<li><b>Difficulty in breathing</b>,</li>
<li><b>Dip in oxygen saturation (SpO2 < 94% on room air)</b>,</li>
<li><b>Persistent pain/pressure in the chest</b>,</li>
<li><b>Mental confusion or inability to arouse</b>.</li>
</ul>
</div>
<div class="col-sm">
<h3>Patients eligible for home isolation</h3>
<ul>
<li>
The patient <b>should be</b> clinically assigned as mild/ asymptomatic case by the treating Medical Officer.
</li>
<li>
Such cases <b>should have the requisite facility at their residence </b>for self-isolation and for quarantining the family contacts.
</li>
<li>
A care giver should be available to provide care on 24 x7 basis. A communication link between the caregiver and hospital is a prerequisite for the entire duration of home isolation.
</li>
<li>
Elderly patients <b>aged more than 60 years and those with co-morbid conditions </b> such as Hypertension, Diabetes, Heart disease, Chronic lung/liver/ kidney disease, Cerebro-vascular disease etc shall only be allowed home isolation after proper evaluation by the treating medical officer.
</li>
<li>
Patients suffering from <b>immune compromised status </b> (HIV, Transplant recipients, Cancer therapy etc.) are not recommended for home isolation and shall only be allowed home isolation after proper evaluation by the treating medical officer.
</li>
<li>
The care giver and all close contacts of such cases should take Hydroxychloroquine prophylaxis as per protocol and as prescribed by the treating medical officer.
</li>
<li>
In addition, the <b>guidelines on home-quarantine for other members </b> available at: <a href="https://www.mohfw.gov.in/pdf/Guidelinesforhomequarantine.pdf">here</a>, shall be also followed.
</li>
</ul>
<br>
<div style="padding-top: 10px;background-color: #478ac9;width: 80%;margin: auto; "></div>
<br>
<h3>Treatment for patients with mild /asymptomatic disease in home isolation </h3>
<ul>
<li>
Patients must be in communication with a treating physician and promptly report in case of any deterioration.
</li>
<li>
Continue the medications for other co-morbid illness after consulting the treating physician.
</li>
<li>
Patients to follow <b>symptomatic management</b> for fever, running nose and cough, as warranted.
</li>
<li>
Patients may perform <b>warm water gargles</b> or <b>take steam inhalation</b> twice a day.
</li>
<li>
If fever is <b>not controlled </b> with a maximum dose of Tab. Paracetamol 650mg four times a day, consult the treating doctor who may consider advising other drugs.
</li>
<li>
The decision to administer Remdesivir or any other investigational therapy must be taken by a medical professional and administered only in a hospital setting. <b>Do not attempt</b> to procure or administer <b>Remdesivir at home</b>.
</li>
<li>
In case of falling oxygen saturation or shortness of breath, the person should <b>require hospital admission</b> and seek immediate consultation of their treating physician/surveillance team.
</li>
</ul>
<br>
<div style="padding-top: 10px;background-color: #478ac9;width: 80%;margin: auto; "></div>
<br>
<h3>When to discontinue home isolation</h3>
<p>Patient under <b>home isolation</b> will stand discharged and end isolation after <b>at least 10 days</b> have passed from onset of symptoms (or from date of sampling for asymptomatic cases) and <b>no fever for 3 days </b>. There is no need for testing after the home isolation period is over.</p>
</div>
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<br>
<div>
<h4 style="text-align: center;">**Kindly go through the entire document with guidelines for Home Isolation of mild /asymptomatic COVID-19 cases given by the government.**</h4>
<a class="btn btn-primary d-flex justify-content-center" style="margin: 2rem auto;" href="docs/RevisedguidelinesforHomeIsolationofmildasymptomaticCOVID19cases.pdf" role="button">Click here to view the guidlines document</a>
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