Professional Documents
Culture Documents
COLLEGE OF NURSING
2nd Semester, S.Y. 2019-2020
CASE SCENARIO 1:
MANAGEMENT
CLASSIFICATION
ASSESSMENT (TREATMENT,
(COLOR AND SPECIFIC
(SIGNS & SYMPTOMS) COUNSELING, FOLLOW-UP
CONDITION)
CARE)
Give fluid, zinc supplements,
and food for some dehydration
(Plan B)
If child also has a severe
Able to drink classification:
No vomiting Refer URGENTLY to
hospital with mother giving
Drinks eagerly
SOME DEHYDRATION frequent sips of ORS on
Skin goes back slowly
the way
Diarrhea for 2 days Advise the mother to
No blood in stool continue breastfeeding
Advise mother when to return
immediately
Follow-up in 5 days if not
improving
Give oral Amoxicillin for 5
days
If wheezing (or disappeared
after rapidly acting
bronchodilator) give an inhaled
bronchodilator for 5 days
Cough for 5 days Soothe the throat and relieve
Chest indrawing PNEUMONIA the cough with a safe remedy
Fast breathing If coughing for more than 14
days or recurrent wheeze, refer
possible TB or asthma
assessment
Advise mother when to return
immediately
Follow-up in 3 days
Severe wasting Give vitamin A
SEVERE MALNUTRITION
Very low weight for age Refer URGENTLY to hospital
Severe palmar pallor SEVERE ANEMIA Refer URGENTLY to hospital
CASE SCENARIO 2:
ASSESSMENT CLASSIFICATION MANAGEMENT
(SIGNS & SYMPTOMS) (COLOR AND SPECIFIC (TREATMENT,
COUNSELING, FOLLOW-UP
CONDITION)
CARE)
Diarrhea for 5 days If child has no other severe
No blood in stool classification
Drinking poorly Give fluid for severe
Skin goes back very slowly DIARRHEA WITH SEVERE dehydration (Plan C)
Lethargic DEHYDRATION Bring urgently to the hospital
Sunken eyes with mother giving frequent
sips of ORS
Advise mother to breastfeeding
Cough for 3 days Give oral Amoxicillin for 5
Chest indrawing days
Fast breathing If wheezing (or disappeared
after rapidly acting
bronchodilator) give an inhaled
bronchodilator for 5 days
Soothe the throat and relieve
PNEUMONIA the cough with a safe remedy
If coughing for more than 14
days or recurrent wheeze, refer
possible TB or asthma
assessment
Advise mother when to return
immediately
Follow-up in 3 days
CASE SCENARIO 3:
MANAGEMENT
CLASSIFICATION
ASSESSMENT (TREATMENT,
(COLOR AND SPECIFIC
(SIGNS & SYMPTOMS) COUNSELING, FOLLOW-UP
CONDITION)
CARE)
Cough for 5 days Give oral Amoxicillin for 5
Fast breathing days
chest indrawing If wheezing (or disappeared
after rapidly acting
bronchodilator) give an inhaled
bronchodilator for 5 days
Soothe the throat and relieve
PNEUMONIA the cough with a safe remedy
If coughing for more than 14
days or recurrent wheeze, refer
possible TB or asthma
assessment
Advise mother when to return
immediately
Follow-up in 3 days
Fever for 4 days MALARIA Give recommended first line
Temp: 38°C oral antimalarial
Give appropriate antibiotic
treatment for an identified
bacterial cause of fever
Give one dose of paracetamol
in clinic for high fever
(38.5°C)
Advise mother when to return
immediately
Follow-up in 3 days if fever
persists
If fever is present every day for
more than 7 days, refer for
assessment.
Fever Give vit. A treatment
Generalized rash
MEASLES
Measles now or within the last
3 months
No palmar pallor
NO ANEMIA
No edema of both feet