{"id":9128,"date":"2021-11-25T13:10:34","date_gmt":"2021-11-25T12:10:34","guid":{"rendered":"https:\/\/www.podivinsky.cz\/?p=9128"},"modified":"2021-11-25T13:10:42","modified_gmt":"2021-11-25T12:10:42","slug":"regeneron-za-30000kc-indikace-racte-precist-a-zkuste-pochopit","status":"publish","type":"post","link":"https:\/\/www.podivinsky.cz\/?p=9128","title":{"rendered":"Regeneron za 30000K\u010d! Indikace- ra\u010dte p\u0159e\u010d\u00edst a zkuste pochopit."},"content":{"rendered":"\n<p>. L\u00e9\u010div\u00fd p\u0159\u00edpravek REGN-COV2 je ur\u010den k l\u00e9\u010db\u011b pacient\u016f s pozitivn\u00edm v\u00fdsledkem testu<br>na SARS-CoV-2 (antigenn\u00ed \u010di PCR), kte\u0159\u00ed jsou ve vysok\u00e9m riziku progrese do z\u00e1va\u017en\u00e9ho<br>pr\u016fb\u011bhu onemocn\u011bn\u00ed covid-19 v\u010detn\u011b hospitalizace nebo smrti, pokud spl\u0148uj\u00ed n\u00e1sleduj\u00edc\u00ed<br>krit\u00e9ria:<\/p>\n\n\n\n<p>\u2022 dosp\u011bl\u00ed a d\u011bti star\u0161\u00ed 12 let v\u00e1\u017e\u00edc\u00ed alespo\u0148 40 kg,<br>\u2022 do 10 dn\u016f od n\u00e1stupu p\u0159\u00edznak\u016f covidu-19,<br>\u2022 klinick\u00fd stav pacienta nevy\u017eaduje hospitalizaci pro covid-19 (na pacienty,<br>kte\u0159\u00ed jsou hospitalizov\u00e1ni z jin\u00e9ho d\u016fvodu, ne\u017e je covid-19, se vztahuj\u00ed identick\u00e1<br>krit\u00e9ria pod\u00e1n\u00ed jako pro nehospitalizovan\u00e9 osoby),<br>\u2022 klinick\u00fd stav pacienta nevy\u017eaduje l\u00e9\u010debn\u00e9 pod\u00e1v\u00e1n\u00ed kysl\u00edku pro covid-19,<br>\u2022 dlouhodob\u00e1 progn\u00f3za pacienta je vyhodnocena jako p\u0159\u00edzniv\u00e1.<\/p>\n\n\n\n<p>Pacient s vysok\u00fdm rizikem je definov\u00e1n jako ten, kdo spl\u0148uje alespo\u0148 jedno<br>z n\u00e1sleduj\u00edc\u00edch krit\u00e9ri\u00ed:<\/p>\n\n\n\n<p>\u2022 index t\u011blesn\u00e9 hmotnosti (BMI) \u00a3 35 kg\/m2,<br>\u2022 chronick\u00e9 onemocn\u011bn\u00ed ledvin (v\u010detn\u011b dialyzovan\u00fdch osob),<br>\u2022 chronick\u00e9 onemocn\u011bn\u00ed jater,<br>\u2022 diabetes mellitus,<br>\u2022 prim\u00e1rn\u00ed nebo sekund\u00e1rn\u00ed imunodeficit,<br>\u2022 imunosupresivn\u00ed l\u00e9\u010dba,<br>\u2022 chronick\u00e9 plicn\u00ed onemocn\u011bn\u00ed v dispenzarizaci (nap\u0159. chronick\u00e1 obstruk\u010dn\u00ed plicn\u00ed<br>choroba, interstici\u00e1ln\u00ed plicn\u00ed onemocn\u011bn\u00ed, bronchi\u00e1ln\u00ed astma, plicn\u00ed hypertenze,<br>cystick\u00e1 fibr\u00f3za, obstruk\u010dn\u00ed a centr\u00e1ln\u00ed sp\u00e1nkov\u00e1 apnoe),<br>\u2022 onkologick\u00e9 nebo hemato-onkologick\u00e9 onemocn\u011bn\u00ed s aktu\u00e1ln\u011b prob\u00edhaj\u00edc\u00ed l\u00e9\u010dbou,<br>\u2022 trombofiln\u00ed stav v dispenz\u00e1rn\u00ed p\u00e9\u010di,<br>\u2022 neurologick\u00e1 onemocn\u011bn\u00ed ovliv\u0148uj\u00edc\u00ed d\u00fdch\u00e1n\u00ed,<br>\u2022 stav po transplantaci solidn\u00edho org\u00e1nu nebo transplantaci kostn\u00ed d\u0159en\u011b,<br>\u2022 v\u011bk &gt; 65 let,<br>\u2022 v\u011bk &gt; 55 let a sou\u010dasn\u011b alespo\u0148 jedno z n\u00ed\u017ee uveden\u00fdch krit\u00e9ri\u00ed:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>kardiovaskul\u00e1rn\u00ed onemocn\u011bn\u00ed,<\/li><li>hypertenze,<\/li><li>chronick\u00e9 respira\u010dn\u00ed onemocn\u011bn\u00ed,<\/li><li>index t\u011blesn\u00e9 hmotnosti (BMI) \u00a3 30 kg\/m2,<br>\u2022 v\u011bk 12-17 let a sou\u010dasn\u011b alespo\u0148 jedno z n\u00ed\u017ee uveden\u00fdch krit\u00e9ri\u00ed:<\/li><li>BMI s 85. percentil pro sv\u016fj v\u011bk a pohlav\u00ed podle r\u016fstov\u00fdch graf\u016f,<\/li><li>srpkovit\u00e1 an\u00e9mie,<\/li><li>vrozen\u00e9 nebo z\u00edskan\u00e9 onemocn\u011bn\u00ed srdce,<\/li><li>neurov\u00fdvojov\u00e9 onemocn\u011bn\u00ed, nap\u0159. d\u011btsk\u00e1 mozkov\u00e1 obrna,<\/li><li>zdravotn\u00ed stav pacienta vy\u017eaduj\u00edc\u00ed technickou podporu, nap\u0159. tracheostomii,<br>gastrostomii nebo p\u0159etlakovou ventilaci (nesouvisej\u00edc\u00ed s onemocn\u011bn\u00edm covid19),<\/li><li>astma nebo jin\u00e9 chronick\u00e9 respira\u010dn\u00ed onemocn\u011bn\u00ed vy\u017eaduj\u00edc\u00ed ka\u017edodenn\u00ed<br>pod\u00e1n\u00ed l\u00e9k\u016f,<\/li><\/ul>\n\n\n\n<p>\u2022 jin\u00e9 individu\u00e1ln\u00ed rizikov\u00e9 faktory progrese covidu-19 dle posouzen\u00ed o\u0161et\u0159uj\u00edc\u00edho<br>l\u00e9ka\u0159e a na z\u00e1klad\u011b vyhodnocen\u00ed potenci\u00e1ln\u00edho p\u0159\u00ednosu a rizika<\/p>\n\n\n\n<p>Moment\u00e1\u0159: Tak ta posledn\u00ed odr\u00e1\u017eka a v\u011bta sd\u011bluj\u00ed, \u017ee si m\u016f\u017eeme vymyslet cokoliv, kdy\u017e to obh\u00e1j\u00edme p\u0159ed ZP. To je fakt \u00fad\u011bsn\u00e9, kam a\u017e medic\u00edna klesla! Mnoha slovy jsme se dostali do situace, \u017ee zase budeme zodpov\u011bdn\u00ed za v\u0161e! Za druh\u00e9 u\u017e mak\u00e1me, pap\u00edry vypl\u0148ujeme, objedn\u00e1v\u00e1me a ru\u0161\u00edme operace, vypisujeme za druh\u00e9 e-DPN, mus\u00edme ps\u00e1t l\u00edstky na pen\u00edze i za inteligenty, kte\u0159\u00ed si pacienta dali do PN, ale nevedou \u0159\u00e1dn\u011b jeho dokumentaci, vym\u00fd\u0161l\u00edme si prognosy prac. schopnosti, ani\u017e bychom dostali od specialisty na to n\u011bjak\u00fd doklad, zpr\u00e1vu, p\u00ed\u0161eme za n\u011b l\u00e1zn\u011b, ani\u017e bychom byli p\u0159esv\u011bd\u010deni, \u017ee to je spr\u00e1vn\u00e9. Jo &#8222;cestou praktick\u00e9ho l\u00e9ka\u0159e&#8220; se d\u00e1 &#8222;delegovat&#8220; cokoliv, abychom se zbavili odpov\u011bdnosti, co vy ne-praktici? Do toho o\u010dkov\u00e1n\u00ed proti v\u0161emu, nyn\u00ed ch\u0159ipce!<\/p>\n\n\n\n<p>Jo- a stoj\u00ed to 30000K\u010d! Jen tak pro forma.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>. L\u00e9\u010div\u00fd p\u0159\u00edpravek REGN-COV2 je ur\u010den k l\u00e9\u010db\u011b pacient\u016f s pozitivn\u00edm v\u00fdsledkem testuna SARS-CoV-2 (antigenn\u00ed \u010di PCR), kte\u0159\u00ed jsou ve vysok\u00e9m riziku progrese do z\u00e1va\u017en\u00e9hopr\u016fb\u011bhu onemocn\u011bn\u00ed covid-19 v\u010detn\u011b hospitalizace nebo smrti, pokud spl\u0148uj\u00ed n\u00e1sleduj\u00edc\u00edkrit\u00e9ria: \u2022 dosp\u011bl\u00ed a d\u011bti star\u0161\u00ed 12 let v\u00e1\u017e\u00edc\u00ed alespo\u0148 40 kg,\u2022 do 10 dn\u016f od n\u00e1stupu p\u0159\u00edznak\u016f covidu-19,\u2022 klinick\u00fd stav pacienta &hellip; <a href=\"https:\/\/www.podivinsky.cz\/?p=9128\" class=\"more-link\">Pokra\u010dov\u00e1n\u00ed textu <span class=\"screen-reader-text\">Regeneron za 30000K\u010d! Indikace- ra\u010dte p\u0159e\u010d\u00edst a zkuste pochopit.<\/span> <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-9128","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/www.podivinsky.cz\/index.php?rest_route=\/wp\/v2\/posts\/9128","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.podivinsky.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.podivinsky.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.podivinsky.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.podivinsky.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=9128"}],"version-history":[{"count":1,"href":"https:\/\/www.podivinsky.cz\/index.php?rest_route=\/wp\/v2\/posts\/9128\/revisions"}],"predecessor-version":[{"id":9129,"href":"https:\/\/www.podivinsky.cz\/index.php?rest_route=\/wp\/v2\/posts\/9128\/revisions\/9129"}],"wp:attachment":[{"href":"https:\/\/www.podivinsky.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=9128"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.podivinsky.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=9128"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.podivinsky.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=9128"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}