Cleveland Clinic MICU COVID-19 workup checklist (updated 4/15/2020)
| 1. Upon admission: |
| • Complete blood count with differential, basic metabolic panel (BMP), liver function tests (LFTs), lactate dehydrogenase (LDH), C-reactive protein (CRP), fibrinogen, D-dimer, high-sensitivity troponin, NT-proBNP, creatine kinase (CK), CK-MB, procalcitonin, ferritin, aPTT, INR, IL-6, electrocardiography |
| 2. Follow-up: |
| • Troponin: If troponin upon admission is elevated, then check troponin daily for 3 days or clinical deterioration |
| • CRP: Check CRP daily, if it is elevated, consider checking triglyceride (TG), ferritin, fibrinogen, LFTs |
| • TG: Check TG every 48 hrs while on propofol |
| • D-Dimer, ferritin, PT/INR, aPTT: Monitor every 48 hrs for 3 times |
| • If patient has evidence of diffuse vascular coagulation (DIC), then check fibrinogen, PT/INR and aPTT |
| • Stop monitoring ferritin if patient is on Tocilizumab |
| • Stop monitoring D-dimer and PT/aPTT if patient is on therapeutic anticoagulation |
| 3. Chest x-ray (CXR): |
| • Perform CXR upon admission after all lines and tubes, then further CXR should perform only if it will change clinical management |
| 4. Electrocardiography: |
| • Perform upon admission, and check QTc interval from bedside monitor |