Re: Managing H1N1 in the trenches

[Guest guest]

I haven't read the details of this case, so I don't know if the result of a

rapid test was being followed. But it seems a clear risk to a test-and-treat

algorithm: High risk person with compatible syndrome, negative test, not

treated, tragedy.

Haresch

> >> >

> >> > I have decided that I will treat aggressively all my patients with flu

> >> > diagnosis:

> >> >

> >> > Medrol Pak

> >> >

> >> > antibiotic Rx appropriate for outpatient CAP treatment

> >> >

> >> > albuterol MDI

> >> >

> >> > Tamiflu only if within the first 48 hours of onset of Sx

> >> >

> >> > rest for a week

> >> >

> >> > Contemplating phoning in Rxs to a pharmacy that will deliver to the

> >> > patient's home if I can't see the patient or he/she sounds too ill to

> >> come

> >> > in (advise to call 911 if they sound really bad?).

> >> >

> >> > Admit earlier rather than later if there are any concerns

> >> >

> >> > I found some contradictions in the steroid recommendations, I suspect

> >> there

> >> > are cytokines involved in the cases of young people that have become ill

> >> > quickly, maybe early steroids can help prevent the ARDS.

> >> >

> >> > Comments?

> >> >

> >> > tangential link:

> >> >

> >>

http://www.propublica.org/feature/in-flu-pandemic-states-hospitals-may-exclude-c\

ertain-patients-1016

> >> >

> >> > Pedro Ballester, M.D.

> >> > Warren, OH

> >> >

> >>

> >>

> >>

> >>

> >>

> >

> >

> > --

> > Graham Chiu

> > http://www.synapsedirect.com

> > Synapse - the use from anywhere EMR.

> >

> >

> >

> >

>

>

>

> --

> Graham Chiu

> http://www.synapsedirect.com

> Synapse - the use from anywhere EMR.

>