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Showing posts from October, 2021

precaution for doctors in dengue

  Dengue Management DON’Ts   do X  DON’T use corticosteroids.  They are not indicated and can increase the risk of GI bleeding, hyperglycemia, and immunosuppression.    X  DON’T give platelet transfusions for a low platelet count.  Platelet transfusions do not decrease the risk of severe bleeding and may instead lead to fluid overload and prolonged hospitalization.    X  DON’T give half normal (0.45%) saline.  Half normal saline should not be given, even as a maintenance fluid, because it leaks into third spaces and may lead to worsening of ascites and pleural effusions.    X  DON’T assume that IV fluids are necessary.  First check if the patient can take fluids orally. Use only the minimum amount of IV fluid to keep the patient well-perfused. Decrease IV fluid rate as hemodynamic status improves or urine output increases.     ✓   DO tell outpatients when to return.  Teach them about...

Know ur covid vaccine

  Coronavirus disease 2019 (COVID-19) is a contagious disease caused by corona virus (SARS-CoV-2). The first case was identified in Wuhan, China, in December 2019. It has since spread worldwide, leading to an ongoing pandemic. (1) COVID-19 vaccines have been developed at an unprecedented speed. Currently, there are 18 vaccines who have received EUA whereas 184 candidate vaccines are in preclinical development and 104 in clinical stages of development. (2, 3) The Vaccines approved by Drugs Controller General of India (DCGI) have been listed in table no. 1 below (4)- Table-1 : COVID-19 vaccines approved for Restricted Use in Emergency Situation by DCGI S.N Vaccine Firm & Date of EUA Dosing Schedule Approved for age group Route 1. ChAdOx1 nCoV-19 Corona Virus vaccine Recombinant) [Chimpanzee Adeno vector] (Covishield vaccine) M/s Serum Institu...