Flatten the Fear Philippines

Prehospital Management of Covid-19 Zelenko Protocol

Treatment Plan for Patients with symptoms of Covid-19

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by Dr. Vladimir Zelenko Twitter: @zev_dr

Fundamental Principles

Treat patients based on clinical suspicion as soon as possible, preferably within the first 5 days of symptoms. Perform PCR testing, but do not withhold treatment pending results.

Risk Stratify Patient

Low risk patient – Younger than 60, no comorbidities, and not toxic (i.e. no shortness of breath)

High risk patient – Older than 60, younger than 60 with comorbidities or looks toxic

Treatment Options

Low risk patients

  1. Rest, oral fluids, Tylenol as needed
  2. Vitamin C lgm once a day for 7 days
  3. Quercetin 500mg twice a day for 7 days
  4. Elemental Zinc 50mg once a day for 7 days 
  5. Close follow up with doctor

High risk patients

  1. Rest, oral fluids
  2. Tylenol as needed
  3. Elemental Zinc 50mg once a day for 5 to 7 days.
  4. Hydroxychloroquine (HCQ) 200mg twice a day for 5 to 7 days
  5. Azithromycin 500mg once a day for 5 days or doxycycline 100mg twice a day for 5 to 7 days

Note: If HCQ is inaccessible (e.g. pending PCR test results) then use Quercetin 500mg three times a day in place of HCQ. If HCQ becomes accessible (e.g. positive PCR test result) , then switch to HCQ.

Additional treatment options. Should be uniquely custom tailored for every patient.

  1. Ivermectin 6mg twice a day for l day
  2. Budesonide 1mg/2cc solution v ia nebulizer twice a day for 7 days
  3. Dexamethasone 6mg once a day for 5 to 7 days
  4. Blood thinners (i.e. Eliquis or Xarelto)
  5. Home O2
  6. Home IV fluids

Our goal is to keep patients out of hospital

 

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