Tango-Tiger

Share knowledge slotxo about health, disease, illness How to exercise Weight loss tips For good health Stay and eat delicious food for a long time.


Sit-up exercise Help test lung function Can support the diagnosis of COVID-19
Dr. Nitiphat Chearakul, Siriraj Respiratory Diseases and Tuberculosis Department, stated on the website of the Urawech Association of Thailand. Under royal patronage Details of the sit-dead hypoxia test in patients with COVID-19.

How does a "sit up" test the bodies of COVID-19 patients?

COVID-19 patients Pneumonia (COVID pneumonia) can occur throughout the course of the disease during the first 2 weeks, so it is likely that it must be detected early for the diagnosis of pneumonia. Or to detect pneumonia requiring steroid therapy in combination with antiviral drugs To reduce the spread of the disease, not causing the severity of the crisis. Testing for hypoxia in the blood while exercising (exercise-induced desaturation, EID) by sitting up. The sit-to-stand test (STST) was tested to correlate with the six-minute walk test in patients with COPD (chronic obstructive pulmonary disease).

How to perform a sit-up lung function test in patients with COVID-19

Have the patient remove the mask. Stand with your feet on your waist and place your hands on your hips. By wearing a fingertip oxygen meter throughout the test
When the subject says “start,” have the patient fully seated in the chair and immediately stand up straight without pushing the chair with his hands. And go back to sitting with her buttocks again Repeat as quickly as possible in 1 minute (preferably 20-30 times in 1 minute) by setting a safe speed and not to overdo it on their own. Test subject to sit full buttocks with knee joints at a 90-degree angle and stand up fully throughout the test.
If the patient is tired, the test is completed 1 minute before the patient is tired or HR (Heart Rate, Heart Rate)> 120 or SpO2 (blood oxygen saturation value) 3% or more decreased (desaturation). Is actually low when the meter is measured and displayed 2-3 times in a row (it measures and displays the result approximately every 3 seconds)
At the end of the test, after 1 minute, the SpO2 is measured for another 1 minute. If desaturation (low oxygen saturation) is not found, the test is considered complete.

Indication for sitting lung function test in patients with COVID-19
Screening patients with COVID pneumonia in primary hospitals without resting hypoxemia or hypoxia (SpO2 <96%) for steroid therapy.
Screening patients in a hospitel or field hospital. Who did not find COVID pneumonia in the first place But it may be new during the 14-day follow-up to be re-evaluated by a doctor with a lung X-ray.
Contraindications for sit-in lung function test in patients with COVID-19
Vital signs are unstable (BT> 38.5, RR> 22, SBP> 160 or <100, HR> 120 or <50).
Poorly balanced while sitting down
However, the sitting lung test. It should be done by a team of doctors and specialists only. Should not test each other at home. And this test is just one factor in determining the symptoms of other COVID-19, including the detection and measurement of the severity of COVID-19. It should be the duty of doctors and nurses only.