By rray, 31 May, 2024 Consider whether meds are worsening fatigue Insufficient evidence on Rx drugs or OTC vitamins supplements for post COVID fatigue 1
By rray, 31 May, 2024 Recommend adequate hydration good nutrition small frequent meals 1 avoid heavy meals If deconditioning and or tachycardia exercise orthostatic intolerance Consider table salt at 1 2 tsp day and 3 L day H2O or electrolyte balanced fluid while ensuring BP c
By rray, 31 May, 2024 Refer to PT3 or PM R if pt unable to start simple activities or advance activities to pre COVID level 1
By rray, 31 May, 2024 Begin individualized titrated structured return to activity program based on exercise tolerance comorbidities 1
By rray, 31 May, 2024 If deconditioning or orthostatic intolerance start w recumbent semirecumbent swim row cycle of short duration e g 5 10min day before gradual transition to upright exercise and longer durations 3
By rray, 31 May, 2024 Be conservative and gradual pacing exercise as tolerated to avoid post exertional malaise sx worsening 12 48h after even minor physical mental exertion malaise may last for days weeks 2