Integrated management of neonatal and childhood illness


NO PNEUMONIA COUGH OR COLD



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module 5

NO PNEUMONIA COUGH OR COLD A child with cough or difficult breathing who has no general danger signs, no chest indrawing, no stridor when calm and no fast breathing is classified as having NO PNEUMONIA COUGH OR COLD.







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Treatment A child with NO PNEUMONIA COUGH OR COLD does not need an antibiotic. The antibiotic will not relieve the child's symptoms. It will not prevent the cold from developing into pneumonia. But the mother brought her child to the clinic because she is concerned about her child's illness. Give the mother advice about good home care. Teach her to soothe the throat and relieve the cough with a safe remedy such as warm tea with sugar. Advise the mother to watch for fast or difficult breathing and to return if either one develops. A child with a cold normally improves in one to two weeks. However, a child who has a chronic cough (a cough lasting more than 30 days) may have tuberculosis, asthma, whooping cough or another problem. Refer the child with a chronic cough to hospital for further assessment.
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EXERCISE A In this video exercise you will practice identifying general danger signs. You will also practice assessing cough or difficult breathing.
1. For each of the children shown, answer the question

Is the child lethargic or unconscious?

YES

NO
Child 1
Child 2
Child 3
Child 4

Video Case Study: Watch the case study. Record the child's signs and symptoms on the Recording Form excerpt below. Then classify the child's illness.


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

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