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IMCI Chart -Zambia August 2012

IMCI Chart -Zambia August 2012

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Integrated Management of Childhood Illness
MaryGenericJune2011
Assess and classify the sick child aged 2 months up to 5 years
ASSESS AND CLASSIFY
CHECKFORGENERALDANGERSIGNS 4THENASKABOUTMAINSYMPTOMS: 5Doesthechildhavediarrhoea? 6Doesthechildhavefever? 7Doesthechildhaveanearproblem? 8THENCHECKFORMALNUTRITIONANDANAEMIA 9CHECKFORHIVINFECTION 10
WHO PAEDIATRIC CLINICAL STAGING FOR HIV
11
THEN CHECK THE CHILD'S IMMUNIZATION, VITAMIN A ANDDEWORMING STATUS
12
TREAT THE CHILD
TEACH THE MOTHER TO GIVE ORAL DRUGS AT HOME
14GiveanAppropriateOralAntibiotic 14GiveanAppropriateOralAntibioticforDYSENTERY 14Givecotrimoxazoleprophylaxis 14GiveOralAntimalarial 15GiveparacetamolforFeverorEarpain 15GiveVitaminA 15Giveironandorfolate 15GiveMebendazoleoralbendazole 16GiveInhaledSalbutamolforWheezing 16Giveoralsalbutamol 16TeachCaretakertoGiveARVs 18GivepainreliefforChronicPain 18TreatOpportunisticInfections 18
TEACH THE MOTHER TO TREAT LOCAL INFECTIONS AT HOME
19TreatEyeInfectionwithTetracyclineEyeOintment 19CleartheEarbyDryWickingandGiveEardrops* 19TreatMouthUlcerswithGentianViolet
﴾
GV
﴿
19TREATTHRUSHWITHORALNYSTATIN 19SoothetheThroat,RelievetheCoughwithaSafeRemedy 19
GIVE THESE TREATMENTS IN THE CLINIC ONLY
20GiveanIntramuscularAntibiotic 20Giveintramuscularquinine 20GiveDiazepamtoStopConvulsions 20TreattheChildtoPreventLowBloodSugar 21Giveepinephrine 21
GIVE EXTRA FLUID FOR DIARRHOEA AND CONTINUE FEEDING
21PlanA:TreatDiarrhoeaatHome 22PlanB:TreatSomeDehydrationwithORS 22PlanC:TreatSevereDehydrationQuickly 23IMMUNIZEANDGIVEVITAMINATOEVERYSICKCHILD,ASNEEDED23
FOLLOW-UP
GIVE FOLLOW-UP CARE
24PNEUMONIA 24PERSISTENTDIARRHOEA 24DYSENTERY 26ORALTHRUSH 26MALARIA 26MEASLESWITHEYEORMOUTHCOMPLICATIONS 27EARINFECTION 27FEEDINGPROBLEM 27VERYLOWWEIGHT 27 ANAEMIA 27HIVINFECTION 28
COUNSEL
FOOD
29 AssesstheFeedingofSickchildUnder2Years
﴾
orifchildhasverylowweightforage
﴿
30FeedingRecommendationsDuringSicknessandHealth 31
FOOD
32FeedingRecommendationsForaChildWhoHasPERSISTENTDIARRHOEA32CounseltheMotherAboutFeedingProblems 32
Counsel
33CounseltheMotheraboutherOwnHealth 33
FLUID
33 AdvisetheMothertoIncreaseFluidDuringIllness 33
WHEN TO RETURN
34
 Recording Form
67
 
Assess, classify and treat the sick young infant aged up to 2 months
ASSESS AND CLASSIFY
CHECKFORVERYSEVEREDISEASEANDLOCALBACTERIALINFECTION36THENASK:Doestheyounginfanthavediarrhoea*? 37CHECKFORJAUNDICE 37THENCHECKFORHIVINFECTION 38THENCHECKFORFEEDINGPROBLEMORLOWWEIGHTFOR AGE:FORBREASTFEEDINGINFANTS39THENCHECKFORFEEDINGPROBLEMORLOWWEIGHTFOR AGEinNON-breastfedinfants40
THEN CHECK THE YOUNG INFANT'S IMMUNIZATION AND VITAMINA STATUS:
41 ASSESSOTHERPROBLEMS 41
TREAT AND COUNSEL
TREAT THE YOUNG INFANT AND COUNSEL THE MOTHER
42GiveFirstDoseofIntramuscularAntibiotics 42TreattheYoungInfanttoPreventLowBloodSugar 43TeachtheMotherHowtoKeeptheYoungInfantWarmontheWaytotheHospital43GiveanAppropriateOralAntibioticforLocalBacterialInfection 44TeachtheMothertoTreatLocalInfectionsatHome 45ToTreatDiarrhoea,SeeTREATTHECHILDChart. 45ImmunizeEverySickYoungInfant,asNeeded 45
COUNSEL THE MOTHER
46TeachCorrectPositioningandAttachmentforBreastfeeding 46TeachtheMotherHowtoExpressBreastMilk 46TeachtheMotherHowtoFeedbyaCup 46TeachtheMotherHowtoKeeptheLowWeightInfantWarmatHome 46 AdvisetheMothertoGiveHomeCarefortheYoungInfant 46
FOLLOW-UP
GIVE FOLLOW-UP CARE FOR THE YOUNG INFANT
47 ASSESSEVERYYOUNGINFANTFOR"VERYSEVEREDISEASE"DURINGFOLLOW-UPVISIT47LOCALBACTERIALINFECTION 47DIARRHOEA 48JAUNDICE 48FEEDINGPROBLEM 49LOWWEIGHTFORAGE 50THRUSH 50
 Recording Form
69
 
Annex
Annex A: Skin and Mouth Conditions
Identify Skin Problem
51Ifskinisitching 52
Identify Skin Problem
53Ifskinhasblisters/sores/pustules 53
Identify Papular Lesions
54Non-Itchy 54
Mouth Problems
55Thrush 55HerpesSimplex 56 ASSESS,CLASSIFYANDTREATSKINANDMOUTHCONDITIONS 57
Clinical reaction
58DrugandAllergicReactions 58
Annex B: ARV dosages andcombinations
ARV dosage tables
59Efivarenz
﴾
EFV
﴿
59 Abacavir
﴾
 ABC
﴿
59Stavudine
﴾
d4T
﴿
59Lamivudine
﴾
3TC
﴿
59LamivudineforPMTCTprophylaxisinnewborns 59
Combination ARV dosages
60DualFDCs 60DualFDCs 60TripleFDCs 60TripleFDCs 60
Annex C: ARVs SIDE EFFECTS
SideEffects* 61
Annex D: DRIED BLOOD SPOT ﴾DBS﴿COLLECTION FOR PCR - SUMMARY
A good health care worker carrying out DBS procedure will:
62
Annex E: TO MEASURE MID UPPERARM CIRCUMFERENCE﴾MUAC﴿
HOW TO MEASURE MID UPPER ARM CIRCUMFERENCE﴾MUAC﴿
65STEPSFORMEASURINGMIDUPPERARMCIRCUMFERENCE
﴾
MUAC
﴿
65

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