Integrated management of neonatal and childhood illness


Name: Age ___ Sex M F Weight _______ kg Temperature _______ oC ASK



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module 5

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.


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4.0 ASSESS AND CLASSIFY DIARRHOEA
Diarrhoea is passage of frequent loose or watery stools. Mothers usually know when their children have diarrhoea. Diarrhoea is common in children especially in those between 6 months and 2 years of age. It is more common in children under 6 months who are drinking cow’s milk or infant feeding formulas more so if they are bottle-fed. Frequent passing of normal stool is not diarrhoea. The number of stool normally passed in a day varies with the diet and age of the child. In many regions diarrhoea is defined as 3 or more loose or watery stools in a 24 hrs period.
What are the Types of Diarrhoea
Most diarrhoeas which cause dehydration are
loose or watery. If an episode of diarrhoea lasts less than 14 days, it is
acute diarrhoea. Acute watery diarrhoea causes dehydration and contributes to malnutrition. The death of a infant with acute diarrhoea is usually due to dehydration. If the diarrhoea lasts 14 days ore more, it is
persistent diarrhoea. Up to 20% of episodes of diarrhoea become persistent. Persistent diarrhoea often causes nutritional problems and contributes to deaths in children. Diarrhoea with blood in the stool, with or without mucus, is called

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