Prehospital Management of Covid-19
Zelenko Protocol
Dr. Vladimir Zelenko
Twitter: @zev_dr
Treatment Plan for Patients with symptoms of Covid-19
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
2. OTC Quercetin 500mg 2 a day for 7 days with Vitamin C 1000mg once a day for 7 days or
OTC Epigallocatechin-gallate (EGCG) 400mg once a day for 7 days
3. Elemental Zinc 50mg once a day for 7 days
4. Close follow up with doctor
High risk patients
1. Rest, oral fluids
2. Elemental Zinc 50mg once a day for 5 to 7 days.
3. Hydroxychloroquine (HCQ) 200mg twice a day for 5 to 7 days or
Quercetin 500mg (OTC) 3 a day for 7 days and Vit. C 1000mg once a day for 7 days or
EGCG 400mg (OTC) twice a day for 7 days
.
4. Azithromycin 500mg once a day for 5 days or
doxycycline 100mg twice a day for 5 to 7 days
Additional treatment options. Should be uniquely custom tailored for every patient.
1. Ivermectin 6mg twice a day for 1 day
2. Budesonide 1mg/2cc solution via nebulizer twice a day for 7 days
3. Dexamethasone 6mg once a day for 5 to 7 days
4. Blood thinners (i.e. Lovenox)
5. Home O2
6. Home IV fluids
IF POSSIBLE, KEEP PATIENTS OUT OF THE HOSPITAL
Supporting documents can be found here:
https://faculty.utrgv.edu/eleftherios.gkioulekas/zelenko/index.html
No comments:
Post a Comment