Integrated management of neonatal and childhood illness



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module 5

Case: Maya Maya is at the clinic today because she has had diarrhoea for 4 days. She is 25 months old. She weighs 9 kg. Her temperature is C. Maya has no general danger signs. She does not have cough or difficult breathing. The doctor said to the mother, "When Maya has diarrhoea, is there any blood in the stool" The mother said, "No" The doctor checked for signs of dehydration. Maya is not lethargic or unconscious. She is not restless or irritable. Her eyes are not sunken. Maya drinks eagerly when offered some water. Her skin pinch goes back immediately. Record Maya's signs on the Recording Form and classify them.


21
MANAGEMENT OF THE SICK CHIlD AGE 2 MONTHS UP TO 5 YEARS

Name: Age ___ Sex M F Weight _______ kg Temperature _______ o
C
ASK:
What are the child’s problems ____________ Initial visit ___ Followup Visit ___
ASSESS
(Circle all signs present)
CLASSIFY

CHECK FOR GENERAL DANGER SIGNS
General danger sign present?

NOT ABLE TO DRINK OR BREASTFEED LETHARGIC OR UNCONSCIOUS Yes No VOMITS EVERYTHING
Remember to use danger sign
CONVULSIONS
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?

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