Integrated management of neonatal and childhood illness



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module 5

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EXERCISE B In this exercise you will look at photographs of children with diarrhoea and identify signs of dehydration.
Part 1: Look at photographs 30 and 31 in the photograph booklet. Read the explanation for each photograph Photograph 30: This child's eyes are sunken. Photograph 31: The skin pinch for this child goes back very slowly.
Part 2: Study photographs 32 through 36. Then write your answers to these questions Photograph 32: Look at the child's eyes. Are they sunken Photograph Look at the child's eyes. Are they sunken Photograph 34-35: Look at the child's eyes. Are they sunken Photograph 36: Look at this photo of a skin pinch. Does the skin go back slowly or very slowly



When you have identified the signs of dehydration in these photographs, discuss your answers with the facilitator.


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4.2 CLASSIFY DIARRHOEA

There are three classification tables for classifying diarrhoea.
* All children with diarrhoea are classified for dehydration.
* If the child has had diarrhoea for 14 days or more, classify the child for persistent diarrhoea.
* If the child has blood in the stool, classify the child for dysentery.

4.2.1 CLASSIFY DEHYDRATION There are three possible classifications of dehydration in a child with diarrhoea SEVERE DEHYDRATION SOME DEHYDRATION NO DEHYDRATION To classify the child's dehydration, begin with the red (or top) row.
-- If
two or more of the signs in the red row are present, classify the child as having SEVERE DEHYDRATION.
-- If
two or more of the signs are not present in the red row, look at the yellow (or middle) row. If two or more of the signs are present in the yellow row, classify the child as having SOME DEHYDRATION. Two of the following signs Lethargic or unconscious Sunken eyes Notable to drink or drinking poorly
• Skin pinch goes back very slowly.

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