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A mother brings her male child to your clinic and concerned about his…
A mother brings her male child to your clinic and concerned about his growth.How will you approach?
Look for any acute malnutrition signs
Medical complications
General danger
signs
Able to drink or feed
,vomiting,
convulsing
,lethargic/unconcious
Any severe classification or pneumonia with chest indrawing
Both feet edema
If no medical complication
Assess breast feed or taking RUTF properly
MUAC/WFH/L
Measurements(ht/length,FOC,MUAC,Weight
History
Birth imunnization developmental
Nutrition
What does the child take for feed
Frequency,duration
quantity of serving
who feeds the child and how
Has the feeding changed?
preperation of feed/milk, duration of feed
serving via cup or bottle,cleaning of utensil
Complicated severe acute malnutrition
MUAC <115cm or WFH/L<-3 Z score
and any of the following:
Not able to finish RUTF Or Breast feeding problems
Medical complication
Edema of both feet OR
MANAGEMENT:
GIVE FIRST DOSE ANTIBITOIC PREVENT LOW BLOOD SUGAR KEEP CHILD WARM REFER URGENTLY TO HOSPITAL
YELLOW UNCOMPLICATED SEVERE ACUTE MALNUTRITION
Able to finish RUTF
MANAGEMENT
GIVE ORAL ANTIBIOTICS FOR 5 DAYS
GIVE RUTF FOR A CHILD 6 MONTHS OR MORE
COUNSEL REGARDING FEEDING TECHNIQUES
ASSESS FOR POSSIBLE TB INFECTION
ADVISE WHEN TO RETURN IMMEDIATELY
F/UP IN 7 DAYS
YELLOW MODERATE ACUTE MALNUTRITION
WFH/L b/w -3 and -2 Zscore OR MUAC 115upto 125mm
ASSESS CHILD'S FEEDING AND COUNSEL ON FEEDING RECOMMENDATION
IF FEEDING PROBLEM,F/UP IN 7 DAYS
ADVISE MOTHER WHEN TO RETURN IMMEDIATELY
F/UP IN 30 DAYS
ASSESS FOR POSSIBLE TB INFECTION