Integrated management of neonatal and childhood illness
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- SOME DEHYDRATION
- 16NO DEHYDRATION
| Treatment Any child with dehydration needs extra fluids. A child classified with SEVERE DEHYDRATION needs fluids quickly. Treat with IV (intravenous) fluids. The box "Plan C Treat Severe Dehydration Quickly" on the TREAT chart describes how to give fluids to severely dehydrated children. You will learn more about Plan C in the module Treat The Child. SOME DEHYDRATION If the child does not have signs of SEVERE DEHYDRATION, look at the next row. Does the child have signs of SOME DEHYDRATION If the child has two or more of the following signs – restless irritable, sunken eyes, drinks eagerly, thirsty, skin pinch goes back slowly -- classify the child's dehydration as SOME DEHYDRATION. Treatment A child who has SOME DEHYDRATION needs fluid and foods. Treat the child with ORS solution. In addition to fluid, the child with SOME DEHYDRATION needs food. Breastfed children should continue breastfeeding. Other children should receive their usual milk or some nutritious food after 4 hours of treatment with ORS. Children with some dehydration are also given daily dose of zinc supplement for 14 days. Zinc should be given as soon as the child can eat and has successfully completed 4 hours of rehydration. This treatment is described in the box "Plan B Treat Some Dehydration With ORS" on the TREAT chart. 16 NO DEHYDRATION A child who does not have two or more signs in either the red or yellow row is classified as having NO DEHYDRATION. Treatment This child needs extra fluid to prevent dehydration. A child who has NO DEHYDRATION needs home treatment. The 3 rules of home treatment are Give extra fluid Give zinc supplement daily for 14 days. The first tablet should be given in the health centre, demonstrating to the mother how to dissolve it in water or breastmilk, if necessary. 3. Continue feeding 4. When to return. Plan A Treat Diarrhoea At Home" describes what fluids to teach the mother to use and how much she should give. A child with NO DEHYDRATION also needs zinc supplement, food and the mother needs advice about when to return to the clinic. Feeding recommendations and information about when to return are on the chart COUNSEL THE MOTHER. *** Download 0.61 Mb. Share with your friends:
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