It was exceptional and noteworthy that throughout his hospital stay, the
patient was never supplemented with any oxygen but continued with
pharmacological therapies. The patient was on intravenous Ceftriaxone 2g
once a day, Methylprednisolone 125mg, oral Azithromycin 500mg and
Colchicine 1mg once a day. He was also on oral multivitamin and mineral
supplements throughout his hospital stay and continued post discharge.
He was initiated on a Heparin infusion of 2000 IU/hour for a duration of
5 days, along with Warfarin 5mg once a day. He also received a stat dose
of Tocilizumab 600mg on day 3 of his admission. Chest physiotherapy
using a spirometer was encouraged and along with awake prone positioning
6 to 12 hourly.
From day 5 onwards, the trend of results showed an improvement in
numbers and likewise clinical improvement was noted in the patient along
with the subsiding of chest tightness and fatiguability. Tachypnoea
subsided over time returning the patient to an almost normal respiratory
rate and room air oxygen saturations showed some improvement, with the
highest levels recorded being 92%, constant up to the point of
discharge and for isolation at home on day 8 since admission.