-- By Dr KK Aggarwal D Dimer is the only lab criteria for severity No Absolute lymphocytic count < 800 D Dimer > 100 CPK > 2X ULN CPR > 100 LDH > 245 Trop I rising Ferritin > 300 There are no standard Lab guideliens Daily tests: CBC witnh differential lymphocytes, CMP, CPK Risk stratification Q2-3 DAY PRN ( as needed): D Dimer, Feritn, ESR, CRP Once: HBV, HCV, HIV, Influenza A/B, RSV, Resp Bio fire profiel, Tracheal aspitate if intubaued COVID 19 All pneumonia pateints need admission No. temperature > 38 Respiratory rate > 20 Heart rate > 100 with new confusion Oxygen saturation < 94% There are no clear cut red flags for COVID No Severe shortness of breath at rest Difficulty in breathing Pain or pressure in the chest’ Cold, clammy, pale and mottled skin New confusion Becoming difficult to rouse Blue lips or face Little or no urine output Coughing up blood Neck stiffness Non blanching rash Headache rule out COVID 19 It is present in 14% cases. Fever with chills means flu Chills are present in 12% cases Cough with sputum rules out COVID 19 No, sputum may be present in 34% cases