MANAGEMENT OF THE SICK CHILD AGED 2 MONTHS UP TO 5 YEARS

Date:March 19, 2021

Child’s Name: CARLO Age: 10 months Sex: M Weight: 8 kg Temp.: 38.5

ASK: What are the child’s problems? Coughing for 3 days Initial visit:March 19, 2021 ff-up visit:_____

ASSESS: (Circle all signs present) CLASSIFY : YELLOW ROW

CHECK FOR GENERAL DANGER SIGNS General danger

NOT ABLE TO DRINK OR BREASTFEED sign present?
VOMITS EVERYTHING YES____ NO ✓
CONVULSIONS
ABNORMALLY SLEEPY OR DIFFICULT TO AWAKEN
DOES THE CHILD HAVE COUGH OR DIFFICULTY OF BREATHING? YES ✓ NO ____
- For how long? 3 days Pneunomia
- Count the breaths in one minute. 54 breaths per minute. Fast breathing?
- Look for chest indrawing
- Look and listen for stridor
DOES THE CHILD HAVE DIARRHEA? YES____ NO✓
- For how long? ______days
- Is there blood in the stool? - Look at the young child’s general condition. Is the child:
Abnormally sleepy or difficult to awaken?
Restless or irritable?
- Look for sunken eyes
- Pinch the skin of the abdomen. Does it go back:
Very slowly (longer then 2 seconds)?
Slowly?
DOES THE CHILD HAVE FEVER?(by history/feels hot/temp. 37.5 and above) YES✓ NO____
Decide the malaria risk
- Does the child live in malaria area? LOOK AND FEEL:
- Has the child visited/traveled or stayed overnight in - Look or feel for stiff neck
a malaria area in the past 4 weeks? - Look for runny nose
If malaria risk, obtain a blood smear
+ P1 Pv - Done

THEN ASK: Look for signs of MEASLES

- For how long has the child had fever? ______days - generalized rash and
- If more than 7days, has fever been present everyday? - one of these: cough, runny nose or red eyes
- Has the child had measles within the past 3months? _____
If the child has measles now or within the last 3 months - Look for mouth ulcers. If yes, are they deep and
extensive
- Look for pus draining from the eye
- Look for clouding of the cornea
ASSESS DENGUE HEMORRHAGIC FEVER
THEN ASK: LOOK AND FEEL:
- Has the child had any bleeding from the nose or gums - Look for bleeding from nose or gums
Or in the vomitus or stool? - look for skin petechiae
- Has the child had black stools? - Feel for cold and clammy extremities
- Has the child had persistent abdominal pain? - Check capillary refill. _______seconds
- Has the child had persistent vomiting? - Perform torniquet test if child is 6months or older AND has no
other signs AND has fever for
more than 3 days.
DOES THE CHILD HAVE AN EAR PROBLEM? YES____ NO✓
- Is there ear pain?
- is there ear discharge? - Look for pus draining from the ear
- if yes, for how long? _____days - Feel for tender swelling behind the ear
LOOK FOR MALNUTRITION ANEMIA - Look for visible severe wasting
- Look for edema of both feet
- Look for palmar pallor
Severe palmar pallor? Some palmar pallor?
- Determine weight for age. Very low?
CHECK THE CHILD’S IMMUNIZATION STATUS? Circle immunizations needed today. Return for next
____ ____ ____ ____ immunization on:
BCG DPT1 OPV1 HEP.B1
____ ____ ____ _______
DPT2 OPV2 HEP.B2 Measles _________________
____ ____ ____ (date)
DPT3 OPV3 HEP.B3

CHECK THE VITAMIN A SUPPLEMENTATION STATUS for children 6months or older Vitamin A needed
Is the child six months of age or older? YES ____ NO____ today:
Has the child received Vitamin A in the past 6 months? YES_____ NO_____ YES____ NO____
ASSESS THE CHILD’S FEEDING if child has ANEMIA OR VERY LOW WEIGHT or is less than 2 years Feeding problems
old.
Do you breastfeed your child? YES _____ NO _____
If yes how many times in 24hours? _____times. Do you breastfeed during the night? YES ____ NO ____
Does the child take any other food or fluids? YES ____ NO ____
If yes, what food or fluids?
How many times per day? ____times. What do you use to feed the child? ______________________________
If very low weight for age, how large are the servings? _____________________________________________
Does the child receive his or her own serving? ________________. Who feeds the child and how?____________
During the illness, has the child’s feeding changed? YES____ NO____.
If yes, how? ____________________________________
Assess care for development Care and Development
problems
Ask questions about how the mother cares for her child. Compare the mother’s answers to the Recommendations
for Care and Development for the child’s age.
- How do you play with your child
- How do you communicate with your child
Assess other problems

Treat:
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MANAGEMENT OF THE SICK CHILD AGED 2 MONTHS UP TO 5 YEARS

Date:March 19, 2021

Child’s Name: ________BRYAN_____________ Age: _18 Months__ Sex: _M_ Weight: __15kg_ Temp.: _38 °C__
 ASK: What are the child’s problems?cough for 4days_________________ Initial visit:March 19, 2021 ff-up visit:_____

ASSESS: (Circle all signs present) CLASSIFY : PINK ROW

CHECK FOR GENERAL DANGER SIGNS General danger

NOT ABLE TO DRINK OR BREASTFEED sign present?
VOMITS EVERYTHING YES✓ NO____
CONVULSIONS
ABNORMALLY SLEEPY OR DIFFICULT TO AWAKEN
DOES THE CHILD HAVE COUGH OR DIFFICULTY OF BREATHING? YES✓ NO____
- For how long? 4 days SEVERE
- Count the breaths in one minute. 58 breaths per minute. Fast breathing? PNEUMONIA
- Look for chest indrawing
- Look and listen for stridor
DOES THE CHILD HAVE DIARRHEA? YES____ NO✓
- For how long? ______days
- Is there blood in the stool? - Look at the young child’s general condition. Is the child:
Abnormally sleepy or difficult to awaken?
Restless or irritable?
- Look for sunken eyes
- Pinch the skin of the abdomen. Does it go back:
Very slowly (longer then 2 seconds)?
Slowly?
DOES THE CHILD HAVE FEVER?(by history/feels hot/temp. 37.5 and above) YES✓NO____
Decide the malaria risk
- Does the child live in malaria area? LOOK AND FEEL:
- Has the child visited/traveled or stayed overnight in - Look or feel for stiff neck
a malaria area in the past 4 weeks? - Look for runny nose
If malaria risk, obtain a blood smear
+ P1 Pv - Done

THEN ASK: Look for signs of MEASLES

- For how long has the child had fever? ______days - generalized rash and
- If more than 7days, has fever been present everyday? - one of these: cough, runny nose or red eyes
- Has the child had measles within the past 3months? _____
If the child has measles now or within the last 3 months - Look for mouth ulcers. If yes, are they deep and
extensive
- Look for pus draining from the eye
- Look for clouding of the cornea
ASSESS DENGUE HEMORRHAGIC FEVER
THEN ASK: LOOK AND FEEL:
- Has the child had any bleeding from the nose or gums - Look for bleeding from nose or gums
Or in the vomitus or stool? - look for skin petechiae
- Has the child had black stools? - Feel for cold and clammy extremities
- Has the child had persistent abdominal pain? - Check capillary refill. _______seconds
- Has the child had persistent vomiting? - Perform torniquet test if child is 6months or older AND has no
other signs AND has fever for
more than 3 days.
DOES THE CHILD HAVE AN EAR PROBLEM? YES____ NO____
- Is there ear pain?
- is there ear discharge? - Look for pus draining from the ear
- if yes, for how long? _____days - Feel for tender swelling behind the ear
LOOK FOR MALNUTRITION ANEMIA - Look for visible severe wasting
- Look for edema of both feet
- Look for palmar pallor
Severe palmar pallor? Some palmar pallor?
- Determine weight for age. Very low?
CHECK THE CHILD’S IMMUNIZATION STATUS? Circle immunizations needed today. Return for next
____ ____ ____ ____ immunization on:
BCG DPT1 OPV1 HEP.B1
____ ____ ____ _______
DPT2 OPV2 HEP.B2 Measles _________________
____ ____ ____ (date)
DPT3 OPV3 HEP.B3
CHECK THE VITAMIN A SUPPLEMENTATION STATUS for children 6months or older Vitamin A needed
Is the child six months of age or older? YES ____ NO____ today:
Has the child received Vitamin A in the past 6 months? YES_____ NO_____ YES____ NO____
ASSESS THE CHILD’S FEEDING if child has ANEMIA OR VERY LOW WEIGHT or is less than 2 years Feeding problems
old.
Do you breastfeed your child? YES _____ NO _____
If yes how many times in 24hours? _____times. Do you breastfeed during the night? YES ____ NO ____
Does the child take any other food or fluids? YES ____ NO ____
If yes, what food or fluids?
How many times per day? ____times. What do you use to feed the child? ______________________________
If very low weight for age, how large are the servings? _____________________________________________
Does the child receive his or her own serving? ________________. Who feeds the child and how?____________
During the illness, has the child’s feeding changed? YES____ NO____.
If yes, how? ____________________________________
Assess care for development Care and Development
problems
Ask questions about how the mother cares for her child. Compare the mother’s answers to the Recommendations
for Care and Development for the child’s age.
- How do you play with your child
- How do you communicate with your child
Assess other problems

Treat:
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