Integrated management of neonatal and childhood illness



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module 5



70




EXERCISE Pb In this video exercise, you will see a demonstration of how to assess a child with an ear problem and how to look for signs of malnutrition and anaemia. Then you will see case studies. Record the children’s signs and classifications on Recording Forms.


71
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 Nob b
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?

DOES THE CHILD HAVE FEVER?
(by history/feels hot temperature 37.5
O
C or above)
Yes___ No Decide Malaria Risk High Low Fever for how long _ Days

Look or feel for stiff neck. If more than 7 days, has fever

Look and feel for bulging fontanelle.
been present everyday Look for runny nose
• Has the child had measles within Look for signs of MEASLES the last 3 months
Generalized rash
• One of these cough, runny nose, or red eyes

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