Treatment
If a resident tests positive for COVID-19 or Influenza, allow the NYMDA COVID-19 Resource Project to assist in guiding you with what steps to take next. Our primary objective is to provide trustworthy and up-to-date information to support the management of COVID-19 and other respiratory viruses in NYS. Rely on us to provide the most reliable resources available for making informed decisions during these challenging times.
Resources
Spreadsheet for dose calculation of Influenza and COVID-19 Treatments
- Includes dosing adjustments for kidney/renal function and weight for Tamiflu, Xofluza, and Paxlovid.
- Can be completed ahead of time to facilitate treatment and prophylaxis during outbreaks
COVID-19
The first step in COVID-19 treatment starts with symptom assessment. For those without hypoxia or increased oxygen requirements, antiviral medications may be the answer. Learn more about antiviral medications, oxygen therapy, steroids, and anticoagulation.
Antiviral Medications
Sample policies: Paxlovid (nirmatrelvir/ritonavir) and Lagevrio (molnupiravir). Two oral antivirals, Paxlovid (nirmatrelvir with...
Oxygen Therapy
The oral antivirals for COVID-19 are not for use in residents who have a new oxygen requirement for hypoxia or who have a higher oxygen...
Steroids
Dexamethasone is not recommended for treatment of residents with mild to moderate COVID-19 (patients not on supplemental oxygen for...
Anticoagulation
Severe COVID-19 is associated with high D-dimer levels which appear to predict mortality. It is unknown whether antithrombotic treatments...
Resources
The National Institutes of Health maintains comprehensive treatment guidance at https://www.covid19treatmentguidelines.nih.gov/
More treatment information and resources are available in the COVID-19 Vaccination and Therapeutics in PALTC Toolkit
Influenza
Treatment for influenza is recommended for residents of nursing facilities where most of our residents are considered at high risk for severe illness and complications of influenza. This section provides resources to support you and your facility in providing the best influenza treatment for your residents. Receive expert guidance on starting treatment as soon as influenza is suspected.