Sruthi Joseph
2nd MSc Nursing
Medical Surgical
Kerala March 2020
 Coronaviruses (CoV) are a large family of
viruses that cause illness ranging from the
common cold to more severe diseases such as
Middle East Respiratory Syndrome (MERS-
CoV) and Severe Acute Respiratory Syndrome
(SARS-CoV).
 Is a new strain that was discovered in 2019
and has not been previously identified in
humans.
 Out break was reported in Wuhan city of
China in 2019
 Coronaviruses are large pleomorphic spherical
particles with bulbous surface projections.
 The diameter of the virus particles is around 120
nm. The envelope of the virus in electron
micrographs appears as a distinct pair of electron
dense shells
Symptoms may appear 2-14 days after exposure
Common signs of infection include
 respiratory symptoms
 fever
 cough
 shortness of breath
 breathing difficulties.
In more severe cases, infection can cause
 pneumonia,
 severe acute respiratory syndrome,
 kidney failure and even death
 Exact dynamics yet to be determined
Generally,
 Human to human transmission of
coronaviruses is primarily thought to occur
among close contacts via respiratory droplets
generated by sneezing and coughing
 Range = 1 to 14 days
 It is most commonly 5 days in one case it had
an incubation period of 27 days.
 Nasopharyngeal swab specimen and an
oropharyngeal swab can be collected
 Sputum should only be collected from
patients with productive cough,
 PCR – polymerase chain reaction , Genetic
fingerprint
 SARS-CoV-2 RNA is detected by reverse-
transcription polymerase chain reaction (RT-
PCR); in the United States, testing is
performed by the CDC or a CDC-qualified lab
. A positive test for SARS-CoV-2 confirms the
diagnosis of COVID-19.
 Chest X-ray and C T scan
 No specific medication
 Supportive care
 No vaccine
 Treatment and vaccine are in development
 Avoid touching eyes, nose and mouth
 Practice respiratory hygiene
If you have fever, cough and difficulty
breathing, seek medical care early
 Hand Washing technique
 staying at home and self-isolating (unless
directed to seek medical care)
 if you must leave your home, wear a mask or
cover your mouth and nose with tissues, and
maintain a 2-metre distance from others
 avoiding individuals in hospitals and long-
term care centres, especially older adults
and those with chronic conditions or
compromised immune systems
 avoiding having visitors to your home
 covering your mouth and nose with your arm
when coughing and sneezing
 having supplies delivered to your home
instead of running errands
 supplies should be dropped off outside to
ensure a 2-metre distance
 monitor yourself for 14 days for symptoms of
respiratory illness, such as fever, cough and
difficulty breathing
 avoid crowded places and increase your
personal space from others whenever
possible
 If you develop symptoms, isolate yourself
from others immediately and contact your
public health authority as soon as possible.
 avoiding non-essential gatherings
 avoiding common greetings, such as
handshakes
 avoiding crowded places such as concerts,
arenas, conferences and festivals
 limiting contact with people at higher risk
like older adults and those in poor health
 keeping a distance of at least 2 arms-length
(approximately 2 metres) from others
 Your health care provider may recommend
you wear a mask if you are experiencing
symptoms of COVID-19 while you are seeking
or waiting for care. In this instance, masks
are an appropriate part of infection
prevention and control measures. The mask
acts as a barrier and helps stop the tiny
droplets from spreading you when you cough
or sneeze
 Avoid unnecessary contact with animals.
 Thorough cooking
 Wash hands after touch with animals
 People are more then 60+ and have an
underlying condition like:
 Cardiovascular disease
 Respiratory disorders
 Diabetes
By avoiding crowded areas where risk for
interact with people who are sick.
 Be supportive
 Be careful
 Be alert
 Be informed
 Be smart
 For further new knowledge follow the news
and latest coronavirus updates.
 Share the latest facts and avoid hyperbole.
 Show empathy with those affected
Coronavirus disease

Coronavirus disease

  • 1.
    Sruthi Joseph 2nd MScNursing Medical Surgical Kerala March 2020
  • 2.
     Coronaviruses (CoV)are a large family of viruses that cause illness ranging from the common cold to more severe diseases such as Middle East Respiratory Syndrome (MERS- CoV) and Severe Acute Respiratory Syndrome (SARS-CoV).
  • 3.
     Is anew strain that was discovered in 2019 and has not been previously identified in humans.  Out break was reported in Wuhan city of China in 2019
  • 4.
     Coronaviruses arelarge pleomorphic spherical particles with bulbous surface projections.  The diameter of the virus particles is around 120 nm. The envelope of the virus in electron micrographs appears as a distinct pair of electron dense shells
  • 5.
    Symptoms may appear2-14 days after exposure Common signs of infection include  respiratory symptoms  fever  cough  shortness of breath  breathing difficulties. In more severe cases, infection can cause  pneumonia,  severe acute respiratory syndrome,  kidney failure and even death
  • 7.
     Exact dynamicsyet to be determined Generally,  Human to human transmission of coronaviruses is primarily thought to occur among close contacts via respiratory droplets generated by sneezing and coughing
  • 8.
     Range =1 to 14 days  It is most commonly 5 days in one case it had an incubation period of 27 days.
  • 9.
     Nasopharyngeal swabspecimen and an oropharyngeal swab can be collected  Sputum should only be collected from patients with productive cough,  PCR – polymerase chain reaction , Genetic fingerprint  SARS-CoV-2 RNA is detected by reverse- transcription polymerase chain reaction (RT- PCR); in the United States, testing is performed by the CDC or a CDC-qualified lab . A positive test for SARS-CoV-2 confirms the diagnosis of COVID-19.  Chest X-ray and C T scan
  • 10.
     No specificmedication  Supportive care  No vaccine  Treatment and vaccine are in development
  • 11.
     Avoid touchingeyes, nose and mouth
  • 12.
     Practice respiratoryhygiene If you have fever, cough and difficulty breathing, seek medical care early
  • 13.
  • 16.
     staying athome and self-isolating (unless directed to seek medical care)  if you must leave your home, wear a mask or cover your mouth and nose with tissues, and maintain a 2-metre distance from others  avoiding individuals in hospitals and long- term care centres, especially older adults and those with chronic conditions or compromised immune systems
  • 17.
     avoiding havingvisitors to your home  covering your mouth and nose with your arm when coughing and sneezing  having supplies delivered to your home instead of running errands  supplies should be dropped off outside to ensure a 2-metre distance
  • 18.
     monitor yourselffor 14 days for symptoms of respiratory illness, such as fever, cough and difficulty breathing  avoid crowded places and increase your personal space from others whenever possible  If you develop symptoms, isolate yourself from others immediately and contact your public health authority as soon as possible.
  • 19.
     avoiding non-essentialgatherings  avoiding common greetings, such as handshakes  avoiding crowded places such as concerts, arenas, conferences and festivals  limiting contact with people at higher risk like older adults and those in poor health  keeping a distance of at least 2 arms-length (approximately 2 metres) from others
  • 20.
     Your healthcare provider may recommend you wear a mask if you are experiencing symptoms of COVID-19 while you are seeking or waiting for care. In this instance, masks are an appropriate part of infection prevention and control measures. The mask acts as a barrier and helps stop the tiny droplets from spreading you when you cough or sneeze
  • 21.
     Avoid unnecessarycontact with animals.  Thorough cooking  Wash hands after touch with animals
  • 22.
     People aremore then 60+ and have an underlying condition like:  Cardiovascular disease  Respiratory disorders  Diabetes By avoiding crowded areas where risk for interact with people who are sick.
  • 23.
     Be supportive Be careful  Be alert  Be informed  Be smart
  • 24.
     For furthernew knowledge follow the news and latest coronavirus updates.  Share the latest facts and avoid hyperbole.  Show empathy with those affected