IQ and General Knowledge

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May be helpful for COVID cases. .Madhu prasad Ghimire #

For those who have just been reported positive:

Suggest self-isolation in one room. Wear mask at all times
Use one bathroom and others in the family should not use that
Your crockeries and dishes should be immersed in soap and water outside your door for half an hour before others can handle them

If you are developing these symptoms do the following:
1. Get a pulse oximeter and monitor your finger oxygen saturation every four hours
2. Record your temp every four hours
3. Start
A. Vitamin C 500 mg twice daily
B. Zinc tablets 20 mg 3 in the morning and 2 in the evening
C. Vit D cap (DV60 K) one cap every week
Get the following blood tests:
CBC, CRP, LDH, D-dimer, Ferritin, LFT and RFT and send me the reports.
These tests will indicate how severe your illness might be so I can advise you regarding hospital admission
If your oxygen saturation falls below 93 percent let me know immediately as you may need oxygen support.

When to seek medical attention?
Patient / Care giver will keep monitoring their health. Immediate medical attention must be sought if serious signs or symptoms develop. These could include-i. Difficulty in breathing,ii. Dip in oxygen saturation (SpO2 < 94% on room air)iii. Persistent pain/pressure in the chest,iv. Mental confusion or inability to arouse,

When to discontinue home isolation?
Patient under home isolation will stand discharged and end isolation after at least 10 days have passed from onset of symptoms (or from date of sampling for asymptomatic cases) and no fever for 3 days.

Asymptomatic cases; mild cases of COVID-19.
The asymptomatic cases are laboratory confirmed cases not experiencing any symptoms and having oxygen saturation at room air of more than 94%.Clinically assigned mild cases are patients with upper respiratory tract symptoms (&/or fever) without shortness of breath and having oxygen saturation at room air of more than 94%.

Patients eligible for home isolation.
The patient should be clinically assigned as mild/ asymptomatic case by the treating Medical Officer.ii. Such cases should have the requisite facility at their residence for self-isolation and for quarantining the family contacts.iii. A care giver should be available to provide care on 24 x7 basis. A communication link between the caregiver and hospital is a prerequisite for the entire duration of home isolation.iv. Elderly patients aged more than 60 years and those with co-morbid conditions such as Hypertension, Diabetes, Heart disease, Chronic lung/liver/ kidney disease, Cerebro-vascular disease etc shall only be allowed home isolation after proper evaluation by the treating medical officer.v. Patients suffering from immune compromised status (HIV, Transplant recipients, Cancer therapy etc.) are not recommended for home isolation and shall only be allowed home isolation after proper evaluation by the treating medical officer.vi. The care giver and all close contacts of such cases should take Zinc 50 mg twice daily and vitamin C 500 mg twice daily and vitamin D 60000 unit capsule once a week as prophylaxis.

Instructions for the patient.
Patient must isolate himself from other household members, stay in the identified room and away from other people in home, especially elderlies and those with co-morbid conditions like hypertension, cardiovascular disease, renal disease etc.ii. The patient should be kept in a well-ventilated room with cross ventilation and windows should be kept open to allow fresh air to come in.iii. Patient should at all times use triple layer medical mask. Discard mask after 8 hours of use or earlier if they become wet or visibly soiled. In the event of care giver entering the room, both care giver and patient may consider using N 95 mask.iv. Mask should be discarded only after disinfecting it with 1% Sodium Hypochlorite.v. Patient must take rest and drink lot of fluids to maintain adequate hydration.vi. Follow respiratory etiquettes at all times.vii. Frequent hand washing with soap and water for at least 40 seconds or clean with alcohol-based sanitizer.viii. Don’t share personal items with other people in the household.ix. Ensure cleaning of surfaces in the room that are touched often (tabletops, doorknobs, handles, etc.) with 1% hypochlorite solution.x. Self-monitoring of blood oxygen saturation with a pulse oximeter is strongly advised.xi. The patient will self-monitor his/her health with daily temperature monitoring and report promptly if any deterioration of symptom as given below is noticed

Monitoring chart
Day of symptoms and time(every 4 hourly) 1. Temperature 2. Heart rate (from pulse oximeter) 3. SpO2 % (from pulse oximeter) 4. Feeling: (better /same /worse) 5. Breathing: (better / same/ worse)

Instructions for caregivers
i. Mask:o The caregiver should wear a triple layer medical mask. N95 mask may be considered when in the same room with the ill person.o Front portion of the mask should not be touched or handled during use.o If the mask gets wet or dirty with secretions, it must be changed immediately.o Discard the mask after use and perform hand hygiene after disposal of the mask.o He/she should avoid touching own face, nose or mouth.

ii. Hand hygieneo Hand hygiene must be ensured following contact with ill person or his immediate environment.o Hand hygiene should also be practiced before and after preparing food, before eating, after using the toilet, and whenever hands look dirty.o Use soap and water for hand washing at least for 40 seconds. Alcohol-based hand rub can be used, if hands are not visibly soiled.o After using soap and water, use of disposable paper towels to dry hands is desirable. If not available, use dedicated clean cloth towels and replace them when they become wet.o Perform hand hygiene before and after removing gloves Perform hand hygiene before and after removing gloves.

iii. Exposure to patient/patient’s environmento Avoid direct contact with body fluids of the patient, particularly oral or respiratory secretions. Use disposable gloves while handling the patient.o Avoid exposure to potentially contaminated items in his immediate environment (e.g. avoid sharing ci******es, eating utensils, dishes, drinks, used towels or bed linen).o Food must be provided to the patient in his/her room. Utensils and dishes used by the patient should be cleaned with soap/detergent and water wearing gloves. The utensils and dishes may be re-used.o Clean hands after taking off gloves or handling used items. Use triple layer medical mask and disposable gloves while cleaning or handling surfaces, clothing or linen used by the patient.o Perform hand hygiene before and after removing gloves.

iv. Biomedical Waste disposalo Effective waste disposal must be ensured so as to prevent further spread of infection within household. The waste (masks, disposable items, food packets etc.) should be disposed of by burning/ incinerating.

can you read this?😀😀

What is the total area of Nepal??

How many ducks are there in the picture??🤔🤔

??😀😀

🤔🤔🤔

???

What comes next:

1,2,4,9,9,??

MATHEMATICS!
QUESTION:
1 rabbit saw 6 elephants while going to the river. Every elephant saw 2 monkeys going towards the river. Every monkey holds 1 parrot in their hands. How many Animals are going towards the river?
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