Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with progressive dyspnea, hypoxemia, and increased work of breathing. Onset of symptoms [X] days ago, initially manifesting as fever, dry cough, and myalgia, now progressing to severe respiratory distress. Current SpO2 [X]% on [FiO2/Device]. No history of recent travel or known exposures other than confirmed SARS-CoV-2 infection.
Clinical Examination Findings
General: Ill-appearing, tachypneic, accessory muscle use present. HEENT: Mucous membranes dry. Respiratory: Bilateral coarse crackles on auscultation, diminished breath sounds at bases. Cardiovascular: Tachycardic, regular rhythm, no murmurs. Extremities: Cool, peripheral cyanosis noted, capillary refill >3 seconds.
Treatment Protocol
Initiate lung-protective ventilation strategy (low tidal volume 6mL/kg PBW). Maintain plateau pressure <30 cmH2O. Consider prone positioning for >16 hours/day. Administer dexamethasone 6mg daily and therapeutic anticoagulation per protocol. Monitor ABG, inflammatory markers (CRP, Ferritin, D-dimer), and fluid balance strictly.