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Covid-19 Primary Care Resources

Interstitial Lung Disease

Specific issues in case of Covid 19 infection

This information is sourced from NHS London clinical networks:

If baseline saturations are available:

  • Mild deterioration would be defined as up to 2% below their baseline
  • Moderate deterioration would be defined as between 3-4% below their baseline
  • Severe deterioration would be defined as 5% or more below their baseline

Consider ceiling of care:

  • Many patients who have established pulmonary fibrosis, of any cause, will not do well with intubation and mechanical ventilation
  • Patients are likely to become hypoxic very quickly as they will not have much reserve
  • They will have often had advance care planning as part of their specialist care