Integrated management of neonatal and childhood illness



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module 5




SEVERE
DEHYDRATION
If child has no other severe classification:

- Give fluid for severe dehydration (Plan Ci b If child also has another severe classification:

Refer URGENTLY to hospital with mother giving frequent
sips of ORS on the way. Advise the mother to continue
breastfeeding.

If child is 2 years or older and there is cholera in your area,
give doxycycline for cholera. Two of the following signs Restless, irritable Sunken eyes Drinks eagerly, thirsty Skin pinch goes back slowly.


SOME
DEHYDRATION

Give fluid, zinc supplement and food for some dehydration Plan Bib If child also has a severe classification

Refer URGENTLY to hospital with mother giving frequent
sips of ORS on the way. Advise the mother to continue
breastfeeding.


Advise mother when to return immediately. Followup in 5 days if not improving.
Not enough signs to classify as some or severe dehydration.


NO
DEHYDRATION
Give fluid, zinc supplement and food to treat diarrhoea at home Plan A. Advise mother when to return immediately. Followup in 5 days if not improving


15
-- If
two or more of the signs are not present in the red row or yellow row, classify the child as having NO DEHYDRATION. This child does not have enough signs to be classified as having SEVERE SOME DEHYDRATION. Some of these children may have one sign of dehydration or have lost fluids without showing signs.
* * * Here is a description of each classification for dehydration
SEVERE DEHYDRATION If the child has two of the following signs -- lethargic or unconscious, sunken eyes, notable to drink or drinking poorly, skin pinch goes back very slowly -- classify the dehydration as SEVERE DEHYDRATION.

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