Integrated management of neonatal and childhood illness

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EXERCISE C
In this exercise, you will practice assessing and classifying dehydration in a child with diarrhoea. Read the following case study. Use the dehydration classification table in the chart.
Case: Pano has had diarrhoea for five days. He has no blood in the stool. He is irritable. His eyes are sunken. His father and mother also think that Pano's eyes are sunken. The doctor offers Pano some water, and the child drinks eagerly. When the doctor pinches the skin on the child's abdomen, it goes back slowly. Record the child's signs and classification for dehydration on the Recording Form. Circle the child's signs on the classification table below to show how you selected the child's classification.

DOES THE CHILD HAVE DIARRHOEA ? Yes Nob i For how long ? ______ Days
• Look at the child’s general condition. Is the child
• Is there any 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?

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4.2.2 CLASSIFY PERSISTENT DIARRHOEA
After you classify the child's dehydration, classify the child for persistent diarrhoea if the child has had diarrhoea for 14 days or more. There are two classifications for persistent diarrhoea SEVERE PERSISTENT DIARRHOEA PERSISTENT DIARRHOEA



•
Dehydration present

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