Classification of fast breathing in a child 2 months upto 12 months
> = 50 BPM
Patient comes in with difficulty of breathing, you ask for? look, listen feel for?
- Duration of symptoms
- Breaths per minute
- Chest indrawing
- Listen for stridor
Classification of fast breathing in child 12 months upto 5 years of age
> = 40 BPM
To classify a child with severe pneumonia or very severe disease you will look for the following signs:
- Any general danger signs
- Chest indrawing
- Stridor in a calm child
What is the treatment to be given in a child with severe pneumonia
- Give first dose of antibiotics
- Refer urgently to hospitals
The clinical sign of pneumonia
Fast breathing
Treatment to be given in a child with pneumonia
- Give appropriate oral antibiotic for the first 5 days
- Soothe throat and relieve cough with a safe remedy
- Advise mother when to return immediately
- Follow up within 2 days
If you are not entertaining pneumonia what is your basis?
No signs of pneumonia or severe disease
Treatment classified in patient with no pneumonia, only cough and cold
- If coughing is more than 30 days refer for assesment
- Soothe the throat and relieve cough with a safe remedy
- Advise mother when to return immediately
- Follow up in 5 days if not improving
How many days does it need to refer a cough for assessment?
30 days
What are the signs that you have to look out for the determination of severe dehydration in a child?
- Lethargic or unconscious
- Sunken eyes
- Not able to drink or drinks poorly
- Skin pinch goes back very slowly
Treatment to be given in patients who suffers severe dehydration but has no other severe classification:
Give fluid for severe dehydration
If the child has another severe classification that goes with severe dehydration what will be given:
- Refer URGENTLY to hospital with mother giving frequent sips of ORS
- Advise the mother to breast feed
If the severe dehydration si due to cholera, what will be your management:
Antibiotic to cholera
Some dehydration signs are the following:
- Restless, Irritable
- Sunken eyes
- Drinks eagerly, thirsty
- skin pinch goes back slowly
Treatment plan for patient classified as some dehydration:
Give some fluid and food
Patient is classified as some dehydration + associated severe classification, what is your treatment:
- Refer urgently to hospital with mother giving frequent sips of ORS on the way
- Advise mother to continue to breastfeed
- Advise mother when to return immediately
- Follow up in 5 days if not improving
Patient was classified as not having diarrhea, what is your treatment plan:
- Give fluid and food to treat diarrhea AT HOME
- Advise mother when to return immediately
- Follow up in 5 days of not yet improving
For children with persistent diarrhea what is your sign to consider?
The presence and absence of DEHYDRATION
Treatment given in patients with severe persistent diarrhea?
- Treat dehydration before referral unless the child have another severe classification
- Referral to hospitals
Treatment given to patients with persistent diarrhea:
- Advise the mother on FEEDING a child who has persistent diarrhea
- Follow up in 5 days
Signs with presence of blood in the stool indicates __
Dysentery
Treatment in patients with dyesentery
- Treat for 5 days with an oral antibiotics recommended for shigella in the area
- Follow up in 2 days
Patient is classified as with very severe febrile disease what are the signs associated with it?
- Any general danger signs
- STIFF NECK
