Cleveland Clinic MICU COVID-19 workup checklist (updated 7/25/2020)
All patients under investigation or with confirmed COVID-19 on admission: procalcitonin, full respiratory viral panel, 2 sets of blood cultures, human chorionic gonadotropin (females of reproductive age) |
Patients with confirmed COVID-19 or strongly suspected |
On admission: |
Complete blood cell count (CBC) with differential, complete metabolic panel, liver function tests, lactate dehydrogenase, C-reactive protein (CRP), fibrinogen, D-dimer, high-sensitivity troponin, N-terminal pro–B-type natriuretic peptide, creatine kinase (CK), CK-MB, procacitonin, ferritin, activated partial thromboplastin time, international normalized ratio, interleukin 6 |
Chest radiography (bundle with other care) |
Electrocardiography |
Point-of-care ultrasonography |
Echocardiography if shock or suspicion for cardiomyopathy |
Deep vein thrombosis scan if D-dimer > 3,000 ng/mL |
Daily monitoring: |
CBC, complete metabolic panel, magnesium, phosphate |
CRP daily; if elevated along with hemodynamic instability or persistent fever, consider checking triglyceride, ferritin, fibrinogen, and liver function tests; daily CRP can be discontinued at discretion of providers |
Troponin every day for 3 days or if change in hemodynamics |
No routine chest radiography |
Corrected QT interval from cardiac monitor |