SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.

Last Reviewed: January 15, 2026 by SymptomDX Medical Team

SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.

← Management Protocols

Home Management ProtocolsCOVID-19 pneumonia

COVID-19 pneumonia

Clinical Assessment Checklist

Browse categories and answer follow-up questions to refine your symptom profile.

Triage and immediate priorities

Initial stabilization

If airway compromise or impending fatigue, prepare intubation and ICU activation

If SpO2 < 90% on room air, supplemental oxygen escalation pathway

If shock, septic shock bundle and early vasopressor strategy

If altered mental status, hypoxemia and hypercapnia evaluation

Infection control

Droplet and contact precautions for suspected viral pneumonia

Airborne precautions for aerosol generating procedures

If intubation or NIV, negative pressure room when available

Monitoring targets

Continuous pulse oximetry

Cardiac monitoring for hypoxemia and myocarditis risk

Frequent reassessment interval 15 to 30 minutes during oxygen escalation

Oxygenation and ventilation goals

Oxygenation goals

SpO2 target 92% to 96% for most adults

SpO2 target 88% to 92% for chronic hypercapnic respiratory failure history

If escalating oxygen requirement, early ICU consultation trigger

Escalation ladder

Nasal cannula 1 to 6 L per minute

Simple face mask 6 to 10 L per minute

Nonrebreather 10 to 15 L per minute

High flow nasal cannula with humidification and heated circuit

Noninvasive ventilation for selected patients with close monitoring

If persistent work of breathing or refractory hypoxemia, intubation pathway

Awake proning

If hypoxemia on conventional oxygen, trial awake prone positioning

If intolerance, lateral decubitus positioning alternation

Hemodynamic support and fluids

Perfusion strategy

Conservative fluid strategy for hypoxemic respiratory failure risk

If hypotension with poor perfusion, crystalloid bolus reassessment by dynamic markers

If vasopressor required, norepinephrine first line

Thromboembolism risk mitigation

Pharmacologic VTE prophylaxis unless contraindicated

If high bleeding risk, mechanical prophylaxis

Medical Disclaimer

SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.

Last Reviewed: January 15, 2026 by SymptomDX Medical Team

SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.

← Management Protocols

Home Management ProtocolsCOVID-19 pneumonia