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CFM > IMCI > Flashcards

IMCI Flashcards

0
Q

Classification of fast breathing in a child 2 months upto 12 months

A

> = 50 BPM

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1
Q

Patient comes in with difficulty of breathing, you ask for? look, listen feel for?

A
  • Duration of symptoms
  • Breaths per minute
  • Chest indrawing
  • Listen for stridor
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2
Q

Classification of fast breathing in child 12 months upto 5 years of age

A

> = 40 BPM

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3
Q

To classify a child with severe pneumonia or very severe disease you will look for the following signs:

A
  • Any general danger signs
  • Chest indrawing
  • Stridor in a calm child
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4
Q

What is the treatment to be given in a child with severe pneumonia

A
  • Give first dose of antibiotics

- Refer urgently to hospitals

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5
Q

The clinical sign of pneumonia

A

Fast breathing

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6
Q

Treatment to be given in a child with pneumonia

A
  • 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
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7
Q

If you are not entertaining pneumonia what is your basis?

A

No signs of pneumonia or severe disease

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8
Q

Treatment classified in patient with no pneumonia, only cough and cold

A
  • 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
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9
Q

How many days does it need to refer a cough for assessment?

A

30 days

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10
Q

What are the signs that you have to look out for the determination of severe dehydration in a child?

A
  • Lethargic or unconscious
  • Sunken eyes
  • Not able to drink or drinks poorly
  • Skin pinch goes back very slowly
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11
Q

Treatment to be given in patients who suffers severe dehydration but has no other severe classification:

A

Give fluid for severe dehydration

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12
Q

If the child has another severe classification that goes with severe dehydration what will be given:

A
  • Refer URGENTLY to hospital with mother giving frequent sips of ORS
  • Advise the mother to breast feed
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13
Q

If the severe dehydration si due to cholera, what will be your management:

A

Antibiotic to cholera

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14
Q

Some dehydration signs are the following:

A
  • Restless, Irritable
  • Sunken eyes
  • Drinks eagerly, thirsty
  • skin pinch goes back slowly
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15
Q

Treatment plan for patient classified as some dehydration:

A

Give some fluid and food

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16
Q

Patient is classified as some dehydration + associated severe classification, what is your treatment:

A
  • 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
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17
Q

Patient was classified as not having diarrhea, what is your treatment plan:

A
  • Give fluid and food to treat diarrhea AT HOME
  • Advise mother when to return immediately
  • Follow up in 5 days of not yet improving
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18
Q

For children with persistent diarrhea what is your sign to consider?

A

The presence and absence of DEHYDRATION

19
Q

Treatment given in patients with severe persistent diarrhea?

A
  • Treat dehydration before referral unless the child have another severe classification
  • Referral to hospitals
20
Q

Treatment given to patients with persistent diarrhea:

A
  • Advise the mother on FEEDING a child who has persistent diarrhea
  • Follow up in 5 days
21
Q

Signs with presence of blood in the stool indicates __

A

Dysentery

22
Q

Treatment in patients with dyesentery

A
  • Treat for 5 days with an oral antibiotics recommended for shigella in the area
  • Follow up in 2 days
23
Q

Patient is classified as with very severe febrile disease what are the signs associated with it?

A
  • Any general danger signs

- STIFF NECK

24
Q

Treatment to be given in a very severe febrile disease

A
  • Give first dose of an appropriate ANTIBIOTIC
  • Treat child to PREVENT LOW BLOOD GLUCOSE
  • Give one dose of PARACETAMOL in clinic FOR HIGH FEVER (38.5 or above)
  • Refer urgently to hospital
25
Q

Treatment to be given in patients with unlikely fever due to malaria:

A
  • Give one dose of PARACETAMOL for high fever
  • Advise mother when to return immediately
  • Follow up in 2 days if fever persists
  • If fever is persistent every day for more than 7 days refer for assessment
26
Q

The signs of a severe complicated measles case:

A
  • Any general danger signs
  • Clouding of the cornea
  • Deep or Extensive mouth ulcers
27
Q

Treatment to be given in a severe complicated measles case:

A
  • Give VITAMIN A
  • Give first dose of appropriate antibiotic
  • If clouding of cornea or pus draining from the eye, APPLY TETRACYCLINE eye ointment
  • Refer urgently to hospital
28
Q

What are the signs of a measles complication:

A
  • Pus draining from the eye

- Mouth ulcers

29
Q

Treatment for complication of measles

A
  • Give vitamin A
  • If pus is draining from the eye give Tetracycline eye ointment
  • For mouth ulcers treat with GENTIAN VIOLET
  • Follow up in 2 days
30
Q

If measles is now or within the last 3 months what will you give to patient:

A

Give VITAMIN A

31
Q

Signs to determine the presence of Mastoiditis in patient:

A

Tender swelling behind the ear

32
Q

Treatment for mastoiditis:

A
  • Give first dose of antibiotic
  • Give first dose paracetamol
  • Refer urgently to hospital
33
Q

The sign in patient with acute ear infection:

A
  • Pus is seen draining from the ear and discharge is reported for LESS THAN 14 days
  • Ear pain
34
Q

Treatment in patients with acute ear infection:

A
  • Give oral antibiotic for 5 days
  • Give paracetamol for pain
  • Dry the ear by wicking
  • Follow up to 5 days
35
Q

Signs in patient with a chronic ear infection:

A

Pus is seen draining from ear and discharge is reported for 14 days or MORE

36
Q

Treatment for chronic ear infection:

A
  • Dry the ear by wicking

- Follow up in 5 days

37
Q

Signs of a patient with severe malnutrition or anemia:

A
  • Visible severe wasting
  • Severe palmar pallor
  • Edema on both feet
38
Q

Treatment given to patients with severe malnutrition or anemia

A
  • VITAMIN A

- Refer to hospital

39
Q

Signs of patient suffering from anemia or very low weight:

A
  • Some palmar pallor

- Very low weight for age

40
Q

Treatment to be given in patients with anemia or very low weight:

A
  • ASSESS FEEDING according to the FOOD BOX on the COUNSEL THE MOTHER chart
  • Give iron
  • Give antimalarial in high risk
  • Give mebendazole in children 2 yo and older if not had a dose in previous 6 months
  • Advise mother when to return immediately
41
Q

In patients with anemia and low weight give the dates of return follow up:
Feeding problem
Pallor
Very low weight for age

A

5 days
14 days
30 days

42
Q

What age group will you assess the feeding and counsel, if the patient has no anemia and not very low weight:

A

LESS THAN 2 yo

43
Q

Treatment of a possible serious bacterial infection

A
  • Give first dose of IM antibiotics
  • Treat to prevent low blood glucose
  • Advise mother to keep the infant warm on the way to hospital
  • Refer urgently to hospital
44
Q

Treatment for local bacterial infection:

A
  • Give appropriate oral antibiotics
  • Teach mother to treat local infections at home
  • Advise mother to give home car for the young infant
  • Follow up in 2 days
45
Q

Signs of a local bacterial infection:

A

Red umbilicus
Draining pus
Skin pustule

CFM (2 decks)

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