Note when treating F0 children at home

Young children infected with Covid-19 are treated at home, parents need to reassure their spirits and create conditions for children to have fun; Pay special attention to signs of worsening such as high fever, difficulty breathing, rash…

Doctor Tran Thi Hai Ninh (Head of the Department of General Internal Medicine, Central Hospital for Tropical Diseases), said warning signs of a child’s risk of developing severe disease such as poor feeding, vomiting, lack of alertness, shortness of breath, and convulsions. jerk. Children with high fever, sore throat, red eyes, red lips, red tongue like a strawberry, swollen hands and feet, rash…

Parents need to regularly update their child’s breathing rate, pulse, temperature, blood pressure and SpO2 (if any). In case of detecting a child with a rapid breathing rate: over 40 times/minute for the 1-5 year old group and over 30 times/minute for the 5-12 year old group; or SpO2 below 95% (in all age groups), medical staff should be reported immediately.

When the child has signs of fever above 38.5 degrees, give paracetamol to reduce fever. Calculating the oral dose according to the child’s weight, the specific recommended dose is 10-15mg/kg/time, repeated after 4-6 hours, no more than 4 times/day.

Children cough, should reduce cough with herbs or cough suppressants as prescribed by medical staff. Give your child extra water and electrolytes, do not arbitrarily use antibiotics or anti-inflammatory drugs, other drugs without instructions from the doctor.

Children should wear loose clothes, in a dry space, regularly clean the body, teeth, nose and throat. Feed your child several meals a day, do gentle exercise, and do restorative exercises such as deep breathing and regular breathing.

Dr. Ninh noted: “Parents need to be calm so that they can provide psychological support, encouragement and mental reassurance for their children.” Help your child maintain normal routines, create entertainment at home, and teach them how to take action to reduce the spread of disease.

A case of Covid-19 was treated at the National Children’s Hospital. Photo: Hospital provides

According to the Ministry of Health, 55% of children with Covid-19 are asymptomatic or mild with upper respiratory or gastrointestinal symptoms, moderate symptoms (40%), severe (4%), critical (0.5 %). Children under 12 months of age are at high risk for severe disease.

4 levels of illness in children with Covid-19, including:

Low: The child has no clinical symptoms or atypical symptoms such as fever, sore throat, cough, runny nose, diarrhea, vomiting, muscle pain, nasal congestion, loss of smell/taste, and no symptoms of pneumonia.

The child’s breathing rate is normal, there is no manifestation of hypoxia, SpO2 is over 96% when breathing air. Children are awake, normal activities, breastfed, eating normally. Chest X-ray was normal. However, children with underlying diseases: obesity, chronic lung disease, chronic renal failure, hepatobiliary disease, prolonged use of corticosteroids, immunodeficiency, congenital heart disease, etc., should be closely monitored because they are prone to severe complications.

Average level: Children have symptoms of pneumonia but no signs of severe and very severe pneumonia, SpO2 94-95% when breathing air. Children are alert, tired, eat less. Chest X-ray showed interstitial lesions, opaque glass, often in the 2 bottoms of the lungs.

This group of children needs to be taken to the hospital, can use respiratory support measures such as oxygen in glasses, antibiotics, remdesivir…

Severity: The child has one of the following signs, including severe pneumonia, but no signs of life-threatening danger. The child has rapid breathing with chest contractions or groans, ups and downs of the nostrils, irritability, fussiness, difficulty eating. SpO2 from 90 to less than 94%. Chest X-ray showed interstitial lesions, diffuse opacity in more than 50% of lungs.

Critical level: Children with signs such as severe respiratory failure SpO2 less than 90%, need intubation. Life-threatening danger signs such as cyanosis, irregular breathing, breathing disturbances, decreased consciousness difficult to wake or comatose, giving up or not eating. Children may have progressive respiratory distress syndrome, hypotension, septic shock, multiple organ failure, systemic inflammatory syndrome, cytokine storm.

Severe and critical children need ICU treatment, medication, and respiratory support as prescribed by a doctor.

Thuy Quynh