COVID-19 Emergency Kit

What to Put in a Covid-19 Emergency Home-Care Kit

April 2nd, 2020

Most people who get sick from the coronavirus won鈥檛 be going to the hospital. Here鈥檚 what doctors say you need to be ready at home.

We gathered the best suggestions from doctors at top hospitals all over the country for what to include in their ideal Covid-19 home-care kit. CREDIT: SONIA PULIDO

By Hilary Potkewitz (Wall Street Journal)

If you or a family member gets infected with the coronavirus, it is very likely that you鈥檒l have to ride it out at home.

Most Covid-19 cases don鈥檛 require hospitalization, and as intensive-care beds fill, all but the most critical cases are being sent home. So, people should be prepared to care for themselves or their loved ones under their own roof鈥攁nd that means having the right supplies to nurse the ill patient and keep the rest of the family healthy.

We asked doctors at top hospitals all over the country what they would include in their ideal Covid-19 home-care kit. We gathered their best suggestions and advice to help you organize your own.

SAFETY AND CLEANING

Isolation and cleaning supplies: bleach; face masks that cover nose and mouth (surgical masks, home-improvement masks or scarfs); gloves for entering sick room and doing laundry (latex or nitrile rubber); hand sanitizer; laundry detergent (wash everything on hot); nail brush; paper towels; soap; tissues.

The first task is to isolate patients with their own stash of tissues, disinfecting wipes, paper towels, soap and warm water.

鈥淎t the top of my wish list would be an extra bedroom with an attached bathroom. That鈥檚 the ideal scenario,鈥 says David Buchholz, senior medical director at Columbia University Irving Medical Center. Most people don鈥檛 have that luxury, but it is worth disrupting the rest of the household to try. 鈥淚f you have a one-bedroom apartment, the sick person gets the bedroom. That鈥檚 key. They can鈥檛 leave, and nobody can enter. Not even pets,鈥 Dr. Buchholz says.

Another key piece of equipment: masks. Patients should wear a face mask anytime they leave their room, and these excursions should be limited鈥攊n other words, bathroom trips only. Anyone entering the room should also wear a mask, and the sick person should likewise mask up for all visitors, regardless of age.

A simple surgical mask is recommended for home use, but given shortages, you can improvise with a scarf tied securely around the face, says Dr. Buchholz. Even hardware-store face masks used for projects like painting or sanding are better than going barefaced. The point is to keep the nose and mouth well-covered, because 鈥渋f the sick person has a surprising cough or sneeze, you may not be able to turn away fast enough,鈥 he says. Glasses are helpful for keeping spray droplets out of the eyes.

Tying a bandanna over the face outlaw-style isn鈥檛 ideal because it will gape at the chin, says Audrey Chun, a doctor in geriatrics and palliative medicine at Mount Sinai Hospital in New York City. 鈥淵ou want the mask to catch the particles from a sneeze, so it鈥檚 not spewing out the sides or the bottom,鈥 she says.

You鈥檒l also need gloves鈥攔ubber or latex鈥攚hen you enter the sickroom or when you clean. Stock up on cleaning supplies, because everything the sick person touches鈥攍ike cutlery, doorknobs or the bathroom sink鈥攎ust be cleaned. You can make a DIY bleach preparation by diluting five tablespoons of bleach per gallon of water. Regular hand soap is crucial, too.

鈥淚 cannot emphasize enough the importance of hand hygiene: washing your hands with warm, soapy water and wiping down surfaces that have been touched. We know this works,鈥 Dr. Chun says. She recommends a nail brush to scrub under fingernails.

If the bathroom is shared, sick people should use disposable paper towels instead of a shared hand towel, Dr. Buchholz says. Keep their bath towels separate from everyone else鈥檚. And healthy family members should remove their toiletries from the shared space. 鈥淵ou don鈥檛 want toothbrushes to be anywhere near each other,鈥 he says.

MEDICINE

Medical supplies: cough drops; over-the-counter cold medicines; pulse oximeter and batteries (there is a pulse-oximeter app available for the iPhone, but none of the doctors we spoke to recommended it); saline nasal spray; thermometer; Tylenol/acetaminophen (children鈥檚 or infant鈥檚 versions if applicable).

Anyone who falls ill should keep in contact with their doctor and let them know if symptoms worsen. To that end, a thermometer is helpful. Since Covid-19 can affect breathing, several doctors also recommended obtaining an at-home pulse oximeter: a device that clips onto the finger and measures heart rate and blood oxygen levels, which are important indicators of how well the lungs are functioning, says Andra Blomkalns, chair of emergency medicine at Stanford School of Medicine. 鈥淚 ordered 600 of them to send home with patients, and I鈥檓 glad I did.鈥 Oximeters are sold over the counter at pharmacies and retailers.

鈥淔or a really sick person who鈥檚 not sick enough to be admitted to the hospital but they鈥檙e on the edge, having an oximeter can be incredibly reassuring,鈥 Dr. Buchholz says.

Have your regular cold medicines on hand and Tylenol or acetaminophen. If the patient is under 18, make sure you have children鈥檚 or infant鈥檚 versions.

鈥淔or the vast majority of kids, you can just stick to the items you would normally use for influenza or other respiratory ailments,鈥 says Danielle Zerr, chief of pediatric infectious diseases at Seattle Children鈥檚 Hospital. It is difficult to get children to wear a face mask, so the caregiver must wear one at all times when interacting with the sick child, she says. The child鈥檚 Covid-19 symptoms may be mild, but 鈥渋t鈥檚 the same virus, and it鈥檒l be much worse in an adult,鈥 she says.

For a dry cough, throat lozenges can be helpful, as long as the child is old enough not to choke on them. For younger children, 鈥渋f they have throat pain, a little bit of warm tea with honey is a nice way to go,鈥 Dr. Zerr says.

FOOD AND DRINK

Nutrition supplies: chicken soup; daily multivitamin and vitamin C tablets; electrolyte-replacement drinks (if using sports drinks, cut in half with water); fresh ginger, lemons, dill, fresh or dried oregano; high-calorie, nutrient-rich foods like avocados; honey for throat soothing; pectin-rich foods like bananas and apples.

As with any flulike virus, it is important that the patient drink plenty of fluids. Occasionally, Covid-19 can cause gastrointestinal distress and diarrhea, and replenishing fluids in those cases is especially important, as dehydration can worsen a fever, Dr. Blomkalns says. Electrolyte-replacement drinks are recommended, but popular sports drinks like Gatorade tend to have high amounts of sugar, so they should be cut in half with water for both children and adults, she says.

Another reason to cut sports drinks with water is that sugar can make diarrhea worse. Sugar-free beverages with artificial sweetener aren鈥檛 recommended either, because that, too, can worsen gastrointestinal problems, Dr. Chun says. She recommends pectin-rich foods like bananas and apples to ease symptoms of diarrhea.

Some patients tend to lose their appetite when sick, especially children, so Dr. Zerr recommends having on hand comforting, high-calorie but nutrient-dense foods like apple sauce and avocados.

A couple of doctors recommended a daily multivitamin and vitamin C tablets. 鈥淎nd never underestimate the power of chicken soup,鈥 says Mark Hyman, head of innovation at the Cleveland Clinic Center for Functional Medicine. 鈥淧rotein is very important when fighting viral illnesses.鈥

He recommends adding dill, oregano and ginger to soups for their antiviral properties. One of Dr. Hyman鈥檚 favorite home remedies is his 鈥渃old-buster tea鈥: a 2-inch chunk of fresh ginger root, sliced thin, boiled in a pot of water for several minutes. Add fresh lemon juice, honey and cayenne pepper. Steep for five minutes. 鈥淚t becomes this spicy, sweet and tangy thing,鈥 he says. 鈥淚t鈥檚 great.鈥

Ms. Potkewitz is a writer in New York. She can be reached at [email protected]. to view the original article on WSJ.com.