Long Covid Breathlessness Pathway

Long Covid Breathlessness Pathway

PARALLELSTARTFINISHCreated with SnapClinical AssessmentBreathlessness 4 to12 weeks postacuteproven or highlysuspicious ofCOVID-19....NOYESSTARTFINISHCreated with SnapSATs ≤94%or below usual forpatient (e.g. 88% inCOPD).NOYESSTARTFINISHCreated with SnapAssess for...Perform the 40-step.Drop in saturation of≥3% (e.g. 97%→94%)?NOYESSTARTFINISHCreated with SnapAssess General Fitness...of patient and iffitness allows:Perform the 1-minutesit to stand test.Drop in saturation of...STARTFINISHCreated with SnapPhysical ExaminationSTARTFINISHCreated with SnapRequest Open Access...STARTFINISHCreated with SnapRefer to Cardiology...NOYESSTARTFINISHCreated with SnapAbnormal* > 8 weeks postsymptom onset.* Risk factor / concernof malignancy.* Pleural Effusion....STARTFINISHCreated with SnapAbnormal* Treat any suspectedsuperimposedbacterial infection.* Repeat CXR in 4 to 6weeks.ABNORMALIMPROVEDIMPROVEDSTARTFINISHCreated with SnapConisder referral to...STARTFINISHCreated with SnapAll NormalIn the context of anormal clinicalassessment with nored flag symptoms, asaturation of >94%...STARTFINISHCreated with SnapConsider PE.If findings out ofkeeping for patient,consider urgentreferral to FNC.STARTFINISHCreated with SnapFlow Navigation...Refer to FlowNavigation Centre(FNC) for same dayassessment.STARTFINISHCreated with SnapSelf-ManagementProvideSelf-ManagementAdvice.STARTFINISHCreated with SnapInterstitial Lung...Spirometry is notdiscriminatory forInterstitial LungDisease (ILD