Trump is taking dexamethasone for his Covid-19. It can be serious, doctors say


It’s a sign that Trump’s condition is worrisome, as the drug should not be given to anyone who is not sick, who does not have enough to justify a reduction in steroids – including that it suppresses the immune system.

White House physician Dr. “We’ve determined that the potential benefits in this case, initially, outweighed the potential benefits at this point,” Sean Conley told reporters outside the Verter Reed National Military Medical Center on Sunday.

At least one large, randomized study has shown that if dexamethasone, a cheap and widely available corticosteroid drug, is given, it does coronavirus patients better, which tempts dangerous inflammation.

The National Institutes of Health’s Guidelines for the Treatment of Coronavirus Infections states that “patients with severe covid-1 all may develop systemic (all over the body) inflammatory responses that can lead to lung injury and multisystem organ dysfunction.” Based on the results of one trial, an NIH panel of experts recommended giving oxygen-dependent dexamethasone to Covid-19 patients.

The NIH guideline reads, “The panel recommends the use of dexamethasone for the treatment of Covid-19 in patients who do not require supplemental oxygen.”

In a study on dexamethasone, which was conducted in Britain, about 23% of patients with dexamethasone died, compared to 26% who did not.

Trump's Covid-19 has had a high fever and a lack of oxygen so far, doctors say

The NIHA said, “Participants who did not require survivor therapy did not receive any survival benefit.

There is a reason for this – the drug reduces inflammation, but in doing so, impairs the body’s ability to fight infection.

The panel notes that “in severe pneumonia caused by the influenza virus, corticosteroid therapy results in poor clinical outcomes, including secondary bacterial infections and death,” the panel notes. Patients must therefore be carefully monitored while taking medications, and the benefits of any treatment outweigh the risks.

Why did Trump’s doctors start dexamethasone?

Trump’s doctors said they decided to give him dexamethasone after his oxygen levels dropped twice.

On Thursday night and early Friday morning, Conley said the president was “doing well with mild symptoms” and that his oxygen level was in the ‘0s – but then late Friday evening the president had a high fever and his oxygen saturation was temporarily below 94%. Is coming, ”Conley said.

Trump's two test results should be shared at each briefing

The president was given oxygen.

“And after about a minute on just two liters, his saturation rate returned to more than 95%. He stayed on it for about an hour, and let go and went,” Conley said.

On Saturday, Trump’s oxygen level dropped again to 93%. “We watched him and he went back,” Conley said.

But Trump decided to give dexamethasone.

“In response to the transient oxygen level, we started dexamethasone therapy, and yesterday it got its first dose,” Garibaldi said during Sunday’s briefing.

“Our plan is to continue for that time.”

Chief of Infectious Diseases of Massachusetts General Hospital Dr. She noted that the video, posted at Trump’s Walter Reed Medical Center on Saturday, did not show any difficulty in breathing or coughing.

“Usually you start dexamethasone, when you start worrying that they’re heading in the wrong direction,” Valencia said. “So, what happened today? Either he’ll progress or people are like, well, let’s throw him a kitchen sink.

“It’s unclear to me why they would have given him if he didn’t need supplemental oxygen.”

Infectious Disease Specialist Dr. of Emory School of Medicine. Carlos del Rio said dexamethasone should only be given to critically ill patients. But based on what the president’s doctors said, Trump could be seriously ill.

“He developed oxygen saturation below %%%,” Del Rio noted.

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