OSCE and learning points

 Study on IV and oral paracetamol efficacy

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7783910/#:~:text=Patients%20who%20received%20intravenous%20paracetamol%20had%20a%20higher%20mean%20first,SD%201.76%2C%20p%20%3D%200.1593

https://scholar.unair.ac.id/en/publications/efficacy-and-tolerability-of-intravenous-paracetamol-compared-to-#:~:text=Normal%20temperature%20achievement%20were%20higher,in%20reducing%20fever%20in%20children

Inference

Both the studies say that IV paracetamol takes lesser time to reduce the symptoms but also the adverse effects similar with the both IV and oral treatment 

Mortality due to dengue haemorrhage 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3862602/

Study done on deaths in dengue patients between 2009 and 2010 - autopsy findings in 6 patients out of 12 deaths among 1032 dengue patients revealed that death is due to multiorgan dysfunction secondary to bleeding diathesis and hypotension


IV fluid management in dengue fever.



https://www.google.com/url?sa=t&source=web&rct=j&opi=89978449&url=https://www.ivteam.com/intravenous-literature/intravenous-fluid-replacement-therapy-in-the-management-of-dengue/&ved=2ahUKEwjNjPzAivaCAxWzcWwGHRPZD-s4FBAWegQIDRAB&usg=AOvVaw1ljYENIR1bOukCh7ss60tH



Clinical management of dengue relies on careful monitoring of fluid balance combined with judicious intravenous (IV) fluid therapy. However, in patients with significant vascular leakage IV fluids may aggravate serosal fluid accumulation and result in respiratory distress.




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