Integrated management of neonatal and childhood illness
when selecting classifications
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- DOES THE CHILD HAVE DIARRHOEA
- 5.0 ASSESS AND CLASSIFY FEVER
| when selecting classifications DOES THE CHILD HAVE COUGH OR DIFFICULT BREATHING Yes___ No For how long ? ___ Days • Count the breaths in one minute _____ breaths per minute. Fast breathing • Look for chest indrawing. • Look and listen for stridor. DOES THE CHILD HAVE DIARRHOEA ? Yes___ No • For how long ? _____ Days • Look at the child’s general condition. Is the child • Is there blood in the stool Lethargic or unconscious Restless and irritable • Look for sunken eyes. • Offer the child fluid. Is the child Notable to drink or drinking poorly Drinking eagerly, thirsty • Pinch the skin of the abdomen. Does it go back Very slowly (longer than 2 seconds Slowly? At the end of this video exercise, there will be a group discussion. 24 5.0 ASSESS AND CLASSIFY FEVER A child with fever may have malaria, measles or another severe disease. Ora child with fever may have a simple cough or cold or other viral infection. MALARIA: Malaria is caused by four species of plasmodia transmitted through the bite of female anopheles mosquitoes, the dangerous one being Plasmodium falciparum. The most common species is Plasmodium vivax. Fever is the main symptom of malaria. It can be present all the time or go away and return at regular intervals. Other signs of malaria are shivering, sweating and vomiting. Signs of malaria can overlap with signs of other illnesses. For example, a child may have malaria and cough with fast breathing, a sign of pneumonia. This child needs treatment for both falciparum malaria and pneumonia. Children with malaria may also have diarrhoea. They need an antimalarial and treatment for the diarrhoea. In areas with very high malaria transmission, malaria is a major cause of death in children. A case of uncomplicated malaria can develop into severe malaria as soon as 24 hours after the fever first appears. Severe malaria is malaria with complications such as cerebral malaria or severe anaemia. The child can die if he does not receive urgent treatment. Download 0.61 Mb. Share with your friends:
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