tetano
Editor, Senior Moderator
Intensive Crit Care Nurs
. 2020 Jun 1;102898.
doi: 10.1016/j.iccn.2020.102898. Online ahead of print.
COVID-19 in a Young Man With Hypertension: A Case Study of Missed Opportunities in Intensive Progression
Kun Rao[SUP] 1 [/SUP], Liuzhao Xie[SUP] 2 [/SUP], Jianyu Wu[SUP] 3 [/SUP], Tianbo Weng[SUP] 4 [/SUP], Leile Tang[SUP] 5 [/SUP], Jieying Zhou[SUP] 6 [/SUP]
Affiliations
Abstract
We report the case of a young patient diagnosed with coronavirus disease 2019 with a history of hypertension. The patient improved after antiviral treatment but eventually developed severe respiratory distress syndrome and cardiac insufficiency. His respiratory secretions were tested for nucleic acids and returned negative twice. Computed tomography imaging of the patient showed evidence of viral pneumonia on the 11th day of onset and continued to worsen. The patient was finally intubated and transferred to a higher-level care centre for further treatment. We were very focused on infectious disease protection throughout the treatment, however, suboptimal treatment was provided due to the switch in antihypertensive medication, lack of early nutritional support and fluid restriction management.
Keywords: COVID-19; Enteral feeding; Heart failure; Hypertension; Pneumonia; Viral.
. 2020 Jun 1;102898.
doi: 10.1016/j.iccn.2020.102898. Online ahead of print.
COVID-19 in a Young Man With Hypertension: A Case Study of Missed Opportunities in Intensive Progression
Kun Rao[SUP] 1 [/SUP], Liuzhao Xie[SUP] 2 [/SUP], Jianyu Wu[SUP] 3 [/SUP], Tianbo Weng[SUP] 4 [/SUP], Leile Tang[SUP] 5 [/SUP], Jieying Zhou[SUP] 6 [/SUP]
Affiliations
- PMID: 32536516
- DOI: 10.1016/j.iccn.2020.102898
Abstract
We report the case of a young patient diagnosed with coronavirus disease 2019 with a history of hypertension. The patient improved after antiviral treatment but eventually developed severe respiratory distress syndrome and cardiac insufficiency. His respiratory secretions were tested for nucleic acids and returned negative twice. Computed tomography imaging of the patient showed evidence of viral pneumonia on the 11th day of onset and continued to worsen. The patient was finally intubated and transferred to a higher-level care centre for further treatment. We were very focused on infectious disease protection throughout the treatment, however, suboptimal treatment was provided due to the switch in antihypertensive medication, lack of early nutritional support and fluid restriction management.
Keywords: COVID-19; Enteral feeding; Heart failure; Hypertension; Pneumonia; Viral.