This document outlines guidelines for integrated management of childhood illness (IMCI) for children under 5 years old. It describes the roles of nurses and doctors in assessing and classifying common childhood illnesses like cough, diarrhea, fever, and ear problems. It provides charts for classifying conditions based on symptoms and signs. It also covers management guidelines for different illness classifications, including treatment, follow-up, and referral criteria. Special considerations are given to assessing and managing young infants from 1 week to 2 months old. The overall goal is to standardize the approach to treating ill children under 5 according to IMCI protocols.
Neonatal jaundice is the condition often seen in infants around the second day after birth. It is mainly caused by
increased levels of bilirubin (physiological jaundice and prolonged jaundice and other non organic causes) and
the symptoms like yellow colour of the skin, dark urine, pale stools. It was assessed by colour of the skin and
severity of jaundice (krammers staging score).Treated by phototherapy, exchange transfusion, pharmacological
agents and natural and home remedies. By this article we concludes that parents should be educated about the
consequences of severe hyperbilirubinemia and simple means to prevent it.
Objective: At the end of this unit, the students will be able to:
Describe internationally accepted rights of child
Discuss national policies, legislation and agencies related to child welfare
Explain National Health Programs related to child health
Enumerate changing trends in child health
Outline child morbidity and mortality
Describe the ethics in Pediatric Nursing
This is ppt for essential newborn care, healthy newborn,immediate basic care, newborn identification, breastfeeding initiation, newborn hygiene, daily routine care,follow up & advices,harmful traditional practices
Neonatal jaundice is the condition often seen in infants around the second day after birth. It is mainly caused by
increased levels of bilirubin (physiological jaundice and prolonged jaundice and other non organic causes) and
the symptoms like yellow colour of the skin, dark urine, pale stools. It was assessed by colour of the skin and
severity of jaundice (krammers staging score).Treated by phototherapy, exchange transfusion, pharmacological
agents and natural and home remedies. By this article we concludes that parents should be educated about the
consequences of severe hyperbilirubinemia and simple means to prevent it.
Objective: At the end of this unit, the students will be able to:
Describe internationally accepted rights of child
Discuss national policies, legislation and agencies related to child welfare
Explain National Health Programs related to child health
Enumerate changing trends in child health
Outline child morbidity and mortality
Describe the ethics in Pediatric Nursing
This is ppt for essential newborn care, healthy newborn,immediate basic care, newborn identification, breastfeeding initiation, newborn hygiene, daily routine care,follow up & advices,harmful traditional practices
National leprosy eradication program CHNNehaNupur8
Leprosy is a chronic infectious disease caused by ‘Mycobacterium Leprae’ an acid fast , rod shaped bacillus.
The disease mainly affects the skin , the peripheral nerves , mucosa of the upper respiratory tract and also eyes.
Cardinal Features:-
° Hypopigmented patch
° Loss of cutaneous sensation
° Thickened Nerve
° Acid fast bacilli
Leprosy has been regarded by tbe community as a contagious , mutilating and incurable disease.
Leprosy is curable and treatment provided in the early stages averts disability.
Multidrug Therapy (MDT) treatment has been made available by WHO free of charge to all patients worldwide since 1995, and provides a simple yet highly effective cure for all typesof leprosy.
IT IS UPLOADED TO HELP NURSING AND PARAMEDICS EDUCATOR TO TEACH THEIR STUDENTS REGARDING NEW BORN CARE. IT ALSO HELPS TO CREATE AWARENESS AMONG GENERAL PUBLIC ABOUT THE NEW BORN CARE.
National leprosy eradication program CHNNehaNupur8
Leprosy is a chronic infectious disease caused by ‘Mycobacterium Leprae’ an acid fast , rod shaped bacillus.
The disease mainly affects the skin , the peripheral nerves , mucosa of the upper respiratory tract and also eyes.
Cardinal Features:-
° Hypopigmented patch
° Loss of cutaneous sensation
° Thickened Nerve
° Acid fast bacilli
Leprosy has been regarded by tbe community as a contagious , mutilating and incurable disease.
Leprosy is curable and treatment provided in the early stages averts disability.
Multidrug Therapy (MDT) treatment has been made available by WHO free of charge to all patients worldwide since 1995, and provides a simple yet highly effective cure for all typesof leprosy.
IT IS UPLOADED TO HELP NURSING AND PARAMEDICS EDUCATOR TO TEACH THEIR STUDENTS REGARDING NEW BORN CARE. IT ALSO HELPS TO CREATE AWARENESS AMONG GENERAL PUBLIC ABOUT THE NEW BORN CARE.
case history in detail including objectives, goals, chief complaint, history of present illness, past dental history, medical history, general examination, extraoral examination intraoral examination further dividing into hard and soft tissue examination, provisional diagnosis, differential diagnosis, investigation, final diagnosis, treatment plan, prognosis
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
2. OBJECTIVES
1 ) NURSE ROLE IN APPROCHING CHILD AT TRIAGE .
2 ) CHILD FOR VACCINATION.
3) DOCTOR ROLE IN APPROCHING CHILDREN AGE 2 MOTHNS TO 5 YRS.
4) DOCTOR ROLE IN APPROCHING YOUNG INFANT AGE 1 WEEK UP TO 2
MONTHS.
4. MANAGEMENT OF A CHILD AGED 2
MONTHS – 5 YRS
•AT TRIAGE :
•WEIGHT
•HEIGHT : ONCE/MONTH
•TEMPERATURE
•REASON FOR VISIT
•PULSE RATE
•RESPIRAOTY RATE
5. RESPIRATORY RATE
•ABNORMAL RR FOR DIFFRERNT AGE GROUPS
•RR IN NEONATE > 60 /MIN
•RR IN 2 – 12 MONTHS > 50/MIN
•RR IN 1 – 5 YRS OLD > 40/MIN
•CHEST IN DRAWING ( NOT DURING BREASTFEEDING)
6. DANGER SIGNS
•1 – LETHARGY / UNCONSCIOUSNESS
•2 – VOMITING
•3 – CONVULSIONS
•4 – INABILITY TO DRINK OR BREASTFEEDED
•** IF ONE OR MORE OF THESE SIGNS ------ > SERIOUSLY ILL ------ >
REFERRED.
•* IF NO ABOVE DANGER SIGNS ( & NO FEVER OR SOB) …. > THEN CHECK
NUTRITIONAL STATUS.
7. NUTRITIONAL STATUS
•1 ) PEM :
•A) CHILDREN WITH SEVERE MALNUTRITION ( INCREASE RISK FOR
MORTALITY & NEED URGENT REFERRAL )
•B ) IDENTIFY CHILDREN WITH SUB – OPTIMAL GROWTH
8. CHART FOR CLASSIFICATION OF PEM
Weight for age below –ve 3rd red zone PEM SEVERE
Weight for age between –ve 2nd and –ve 3rd orange zone PEM MODERATE
Weight above –ve 2nd green zone NO PEM
9. PEM
•IF CHILD HAS PEM , OR MOTHER C/O FEEDING DIFFICUTY … CHECK
BREASTFEEDING.
FEEDING IS NOT < 8 TIMES/DAY
•ASK IF THERE IS H/O UTI , FREQUENT DIARRHEA & COUGH
•INVESTIGATION:
URINE ROUTINE
HGB
•STOOL ROUTINE ( PARACITE)
10. PEM
•Severe PEM …… > REFERED
•MODERATE PEM ----- > 1) DO IX
•2) REFERRAL TO DIETITION
•3) F/U AFTER 2 WKS, THEN REVIEW EVERY
MONTH
11. CHART FOR CLASSIFICATION OF ANEMIA
SEVERE ANEMIAHB < 7 GM/DL
ANEMIAHB ( 7 – 11 ) GM/DL
NO ANEMIAHB > 11 GM/DL
12. F/U ANEMIA
•REPEAT HGB , IF RAISE BY 0.5 TO 1 GM IN 2 WKS , CONTINUE ORAL IRON
FOR 3 MONTHS THEN REVIEW.
14. VACCINATION
•WHAT TO WRITE IN NOTES FOR VACCINATED CHILD :
•1) DUE FOR VACCINATION …….
•2) WEIGHT IN GREEN ZONE & UPGOING
•3) NO DANGER SIGNS
•4) NORMAL PSYCHOSOCIAL ASSESSMENT CHECKED BY BOTH NURSE &
DOCTOR.
15. VACCINATION
IF NO TSH THERE ASK LAB TECHNICION TO TALK TO FOCAL POINT OF
DELIVERY HOSPITAL . ON NO TEL NUMBER , TO CALL DGHS TO GIVE YOU
-ANY MURMUR REFER.
-EYE EXAMINATION: BY TORCH ABOUT 30 CM ……. > IF WHITE PUPIL (
CATARACT)
-IF RED PUPIL (
NORMAL )
-ONLY MARKED SQUINT REFER & DO NOT WAIT.
-
16. VACCINATION
F/U AT 9 MONTHS ….. > HGB + BLOOD GROUP
NO VACCINATION AT THIS AGE.
COMPLIMENTARY FOOD STARTED.
AT 13 MONTHS TO BE SEEN BY DR.
FOR OPV , IF CHILD HAS DIARRHEA BETTER TO GIVE HER/HIM & TO REEPAT
IT AFTER ONE MONTH.
17. VACCINATIONA
•IF BOWING LEG REFER
•AT 18 MONTHS .. REPEAT IX
•IF NO TEETH REFER ( VITAMIN D DEFICIENCY)
•IF TEETH DECAY … REFER TO DENTIST.
•- TO F/U OBESITY
18. ASSESSMENT & CLASSIFICATION OF SICK
CHILD ( 2 MONTHS – 5 YRS)
•HISTORY: ASK CARE GIVER
•1) DOSE THE CHILD HAVE COUGH OR DIFFICULT BREATHING ?
•2) ANY EAR PROBLEMS ?
•3) DIARRHEA ?
•4) FEVER ?
•5) ANY THROAT PROBLEM ?
•6) ANY OTHER PROBLEM ?
19. CHART FOR CALSSIFICATION OF
COUGH OR DIFFICULT BREATHING
SEVERE PNEUMONIAANY GENERAL DAANGER SIGN OR CHEST
IN –DRAWING
PNEUMONIAFAST BREATHING
PNEUMONIA WITH WHEEZFAST BREATHING & AUDIBLE WHEEZ
CORYZA WITH WHEEZAUDIBLE WHEEZ
CORYZANO CHEST IN- DRAWING , FAST
BREATHING OR WHEEZ
20. COUGH
RX OF PENUMONIA :
ORAL ANTIBIOTICS ( EX ; AMOXYCILLIN ) FOR 5 DAYS.
REVIEW AFTER 2 DAYS
EXTENT ANTIBIOITCS TO 7 DAYS IF NECESSARY .
GIVE AUGMENTEN IF NO IMPROVEMENT.
ADVICE FOR SAFE REDEMY
21. COUGH
•CHILD WITH PERSISTENT COUGH > 15 DAYS ….. REFER TO R/O :
•TB
•ASTHMA
•WHOOPING COUGH
•** COUGH SYRUP WITH CODEIN ………… > CONSTIPATION.
22. EAR PROBLEM
•* MAIN CAUSE OF DEFENNESS ….. > LEARNING PROBLEMS
•1)ASK FOR EAR PAIN ( OR RUB EAR)
•2) LOOK FOR EAR DISCAHRGE OR PUS
•3) LOOK FOR TENDER SWELLING BEHIND THE EAR.
23. CHART FOR CLASSIFICATION OF EAR
PROBLEM
MASTODITISEAR DISCHARGE & TENDER SWELLING
BEHIND THE EAR
ACUTE OTITIS MEDIAIF EAR PAIN OR EAR DISCHARGE IS PUS
FOR < 14 DAYS
CHRONIC O. MIF EAR PAIN OR EAR DISCAHRGE > 14
DAYS
OTHER PROBLEMNO SIGN OF EAR INFECTION FOUND
24. EAR PROBLEM
•ACUTE O. M :
•AMOXYCILLIN FOR 5 DAYS
•REVIEW AFTER 2 DAYS
•IN DISCHARGE NOT REDUCE , GIVE 2ND LINE ANTIBIOTICS
•GIVE PARACETAMOL FOR PAIN RELIEF
•DRY EAR BY SOFT WICKS
•REVIEW AFTER 5 DAYS , IF NO IMPROVEMENT TO BE REFERRED TO ENT
CHRONIC O. M … REFER TO ENT
25. THROAT PROBLEM
•THROAT INFECTION ( IF CAUSED BY STERPTOCOCCUS ) ---- > RHEUMATIC
FEVER -------- > CARDIA PROBLEM.
•MORE COMMON IN > 2 – 3 YRS
•ALL CHILD > 2 YRS ….. EXAMIN THROAT.
•CHILD < 2 YRS …. EXAMIN IF ONLLY FEVER IS THERE.
26. CHART FOR CLASSIFICATION OF THROAT
PROBLEM
STERPTOCOCCAL SORE THROAT
(TAKE THROST SWAB IF POSSIBLE ,
START OSPEN 10 DAYS , IF C/S –VE STOP
IT)
ENLARGED TENDER LN IN FRONT OF
NECK .
WHITE/YELLOW EXUDATE OR SEVERE
CONGESTION
NON- STERPTOCOAL SORE THROT
CONGESTION OF THROAT WITH NO
ENOUGH SIGNS TO CLASSIFY AS
STERPTOCOCCAL SORE
THROAT
27. DIARRHEA
•STOOL IN BREASTFEED CHILD …. SOFTER & MORE FREQUENT.
•DIARRHEA LAST < 14 DAYS ( ACUTE DIARRHEA)
•> 14 DAYS ( PERSISTENT DIARRHE) ---- > reduce weight --- >
PEM
•DIARRHEA :
•1) DYSENTERIC ( BLOOD IN STOOL ) … 10 %
•2) NON- DYSENTERIC
•ASK : 1 ) FOR HOW LONG IS DIARRHEA ? 2) IS THERE BLOOD IN STOOL ?
28. CLASSIFICATION OF DEHYDRATION
SEVERE DEHYDRATION
TWO OF 0 SIGNS :
-LETHRGIC OR UNCONSCIOUS
-SUNKEN EYES
-NOT ABLE TO DRINK OR DRINKING POORLY
-SKIN PINCH GOES BACK VERY SLOWLY > 2 S
MILD TO MODERATE
DEHYDRATION
2 OF FOLLOWING SIGN
RESTLESS , IRRITABLE
SUNKEN EYES
DRINK EAGERLY, THIRSTY
SKIN PINCH GOSE BACK SLOWLY
NO
DEHYDRATION
NOT ENOUGH SIGNS TO CLASSIFY
29. TREATMENT OF DIARRHEA
•IF NO DEHYDRATION :
•1) EDUCATE MOTHER HOW TO PREPARE ORS
•2) GIVE 100 ML OF ORS /STOOL FOR CHILD < 1 YR
•3) GIVE 200 ML OF ORS /STOOL FOR CHILD > 1 YRS
•4 ) GIVE OTHER FLUID IN ADDITION TO ORS
•5) ADVICE MOTHER TO RETURN TO THE CLINIC , IF CHILD DEVELOPS
BLOOD IN STOOL, DRINKS POORLY , BECOES SICKER , OR IS NOT BETTER
IN THREE DAYS .
30. TREATMENT OF DIARRHEA
•IF CHILD HAS MILD TO MODERATE DEHYDRATION :
•- GIVE 75 ML/KG OF ORS /4 HRS
•- CONTINUE BREASTFEEDING IF CHILD IS BREAST- FED
•- REASSES & RECLASSIFY AFTER 4 HRS…. IF 1) NO DEHYDRATION… SEND
HOME.
•2) STILL MODERATE
DEHYDRATED… REPEAT THE ABOVE RX
**
31. TREATMENT OF DIARRHEA
•3) if severe dehydration … refer
•** HOW TO TREAT PERSISTENT DIARRHEA ???
•TREATMENT OF DYSENTERY DIARRHEA:
•A) NALIDIXIC ACID X 5 DAYS , IF G6PD +VE , USE CEPRADINE
•B) F/U IN 2- 3 DAYS & CHANGE TO ANOTHER ANTIBIOTIS IF NO RESPONSE
•C) REFER URGENTLY IF CHILD IS < 1 YR OR IF PEM +VE.
32. FEVER
•TEMPERATURE : > 37.5 C BY AXILLA
•DURATION IF > 5 DAYS ( SERIOUSE ILLNESS ) .. REFER URGENTLY
33. CHART FOR CLASSIFICATION OF FEVER
VERY SEVERE FEBRILE DISEASE /
MENINGITIS
ANY DANGER SIGN OR STIFF NECK ,
BULGING FONTANEL
MALARIANO RUNNY NOSE , NO MEASLES , NO
OTHER CAUSE OF FEVER & MALARIA
PARASITE ON BLOOD SMEAR
FEVER CAUSE KNOWNCHILDREN ALREADY CLASSIFIED AS
PNEUMONIA, EAR INFECTION, OR SORE
THROAT
MEASLES / RUBELLAGENERALIZED RASH & COUGH , RUNNY
NOSE OR RED EYES
UTICRYING WHILE PASSING URINE
URINE MICROSCOPY , > 20 WBC/CMM
FEVER CAUSE UNKNOWNNO OBVIOUS CAUSE OF FEVER
34. MANAGEMENT OF YOUNG INFANT AGED 1
WEEK UP TO 2 MONTHS
•ASSESS & CALSSIFY
•- CHECK FOR BACTERIAL INFECTION.
•- LOOK FOR JAUNDICE.
•- IF THERE IS DIARRHEA
•- FEEDING PROBLEM OR LOW WEIGHT
•- CHECK IMMUNIZATION STATUS
•- ASSESS FOR OTHER PROBLEM
35. CHART FOR CLASSIFICATION OF INFECTION IN
YOUNG INFANT AGED 1 WEEK UP TO 2 MONTHS
CLASSIFY ASSIGNS
SEVERE BACTERIAL INFECTION / SEPSISANY ONE OF THE FOLLOWING :
LETHARGY OR UNCONSCIOUSNESS,
CONVULSIONS , NOT ABLE TO SUCK ,
PERSISTENT VOMITING, FAST BREATHING>
60/MIN, SEVERE CHEST INDRAWING /NASAL
FLAIRE & GRUNTING, REDNESS AROUND
UMBILICUS EXTENDING TO SKIN & TISSUE
> 1 CM , MULTIPLE SKIN PUSTULES, PUS
DISHARGING FRO EAR, SEVERE PURULENT
EYE DISCHARGE, HYPOTONIA, TEMP ( 37.6 –
37.9 WITH ANY OF ABOVE SIGNS) TEMP >
37.9 OR BELOW 35 C
CORYZA ( COUGH, COLD)RUNNY NOSE , TEMP ( 37.6 TO 37.9 )
BABY ACTIVE & FEEDING WELL
36. CHART FOR CLASSIFICATION OF INFECTION IN
YOUNG INFANT AGED 1 WEEK UP TO 2 MONTHS
CLASSIFY ASSIGNS
LOCAL INFECTION OF :
UMBILICUS
SKIN
EYES
ANY ONE OF THE FOLLOWING :
REDNESS & SWELLING OF SKIN
EXTENDING < 1 CM BEYOND UMBILICUS.
SOME SKIN PUSTULES.
SOME PURULENT EYE DISCHARGE
NO INFECTIONNONE OF THE ABOVE
37. MANAGEMENT OF YOUNG INFANT AGED 1
WEEK UP TO 2 MONTHS
•- JAUNDICE IN 1ST 24 HRS …. SERIOUSE
•- JAUNDICE AFTER 48 HRS EITHER :
•1) SIGNIFICANT ….. JAUNDICE UP TO PALMS & SOLES
•2) NOT SIGNIFICANT …… NOT EXTENDING UPTO PALMS & SOLES.
38. MANAGEMENT OF YOUNG INFANT AGED 1
WEEK UP TO 2 MONTHS
ASSESS DIARRHEA
REFER ALL CASES OF DYSENTRY TO HOSPITAL URGENTLY AS IT LIKELY TO CAUSE SEPTCEMIA
& SHOCK.
•- SEVERE DEHYDRATION , ANY TWO OF :
•A) LETHARGIC OR UNCONSCIOUS
•B) SUNKEN EYES
•C) SKIN PINCH GOES VERY SLOWLY
•- SOME OF DEHYDRATION , ANY TWO OF:
•A) RESTLESS OR IRRITABLE
•B) SUNKEN EYES
•C) SKIN PINCH GOES SLOWLY
39. MANAGEMENT OF YOUNG INFANT AGED 1
WEEK UP TO 2 MONTHS
•- CHECK FOR FEEDING PROBLEMS OR LOW WEIGHT.
•- CHECK IMMUNIZATION STATUS
•- DO ROUTINE CLINICL CHECK UP
•**WHEN TO FOLLOW UP ?????
40. MANAGEMENT OF YOUNG INFANT AGED 1
WEEK UP TO 2 MONTHS
•TO RETURN IMEDIATELY IF INFANT HAS ANY OF THESE SIGNS :
•- NOT BREASTFEEDING OR DRINKING POORLY
•- BECOMES SICKER
•- DEVELOPS A FEVER
•- FAST BREATHING
•- DIFFICULT BREATHING
•BLOOD IN STOOL
41. MANAGEMENT OF YOUNG INFANT AGED 1
WEEK UP TO 2 MONTHS
•ADVICE FOR FOLLOW – UP VISIT.
RETURN FOR FOLLOW-UP NOT
LATER THAN :
IF THE INFANT HAS :
2 DAYSLOCAL BACTRIAL INFECTION
ANY FEEDING PROBLEM
THRUSH
14 DAYSLOW WEIGHT FOR AGE