Fever Related Disease Ppt

8/8/2019 Fever Related Disease Ppt

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Fever Related Disease



A ssess the Child:

If (+) Exposure to malaria area.

-obtain blood smear

If (+)or have had fever.

-how long-look for stiffneck

-look for runny nose



A ssess the Child:

If (+/-)for measles within 3 months.

-look for general rashes

-cough, runny nose or red eyes.

-mouth ulcers

-pus draining from the eyes.

-clouding of the cornea.



Presence of Malaria risk:

Very severeFebrile Disease

Malaria

(+) Stiffneck

or any general

danger sign

Classify the fever



Action:

Give the first dose of _____.

Give the first dose of an

appropriate antibiotics.Treat the child to prevent low

blood sugar.

Send a blood smear with thepatient.

Refer urgently to a hospital.



Classify the fever

(+) blood smear

If blood smear not done-

NO runny nose

NO measlesNO other

causes of fever

Malaria




Action:

Treat the child with an oralantimalarial.

Give one dose of paracetamol.

Follow up in 2 days.



`Classify the fever

(-) blood smear or

other causes of

fever

Fever Malaria

Unlikely




Action:



Treat other causes of fever.



`Classify the fever

(+) stiffneck or

any general

danger sign

Sever e Febrile

Disease

NO Malaria risk:



Action:

Give the first dose of anappropriate antibiotics.

Treat the child to prevent lowblood sugar.

Send a blood smear with thepatient.

Refer urgently to a hospital.



`Classify the fever

NO sign of a very

severe febrile

Fever

No Malaria

NO Malaria risk:



Action:



Treat other causes of fever.



`Classify the fever

C louding of the

corneaDeep or

extensive

mouth ulcers

Anny danger

sign

Sever e

complicated

Measles

� If measles now or within 3 months



Action:

Give vitamin A

Give first dose of an appropriateantibiotics.

Apply tetracycline eye ointment.

Refer urgently to hospital.



`Classify the fever

P us draining from

the eye

Mouth ulcers

Measles with

eye or Mouth

complications




Action:

Give Vitamin A

Apply tetracycline eye ointment

Apply Gentian violet for mouthulcers

Follow up in 2 days

Advise mother when to returnimmediately.



`Classify the fever

Measles now or

within 3 months

Measles




Action:

Give Vitamin A




Assess the DHF:

Ask if the child:

-Had any bleeding.

-Had black vomitus or stool.

-Had persistent abdominal pain.

-Had persistent vomiting.



Assess the DHF:

Assess for:

-bleeding from nose or gums.

-Skin petichiae.

-Cold and clammy extremities

-Capillary refill test.

-Perform tourniquet test.



`Classify the DHF

Bleeding from nose or

gums, or:

Bleeding in stools or

vomitus or Black stool or vomitus or

Skin petichiae Cold

clammy extremities

C apillary refill of more

than 3 secs

P ersistent abdominal pain

(+) tourniquet test .

Sever e Dengue

Hemorrhagic

Fever



Action:

Give ORS(Plan B) if:(+) persistent vomiting or

(+) persistent abdominal pain

(+) skin petichiae(+) tourniquet test

Give fluids rapidly (Plan C) if (+) for any danger signs.

Do not give aspirin.Treat the child to prevent low blood sugar.

Refer Urgently to hospital.



`Classify the DHF

N o signs of

severe DHF

Fever DHF

unlikely



Action:

Advise mother when to return

immediately.Follow up in 2 days.

Do NOT give Aspirin.



Assess for Ear Prolem:

Ask if the child has:

-Ear problem.

-Ear discharge.

-Pus draining from the ear.

-Tender swelling behind the ear,

Assess for:



`Classify Ear Problem

T ender swelling

behind the ear

Matoiditis



Action:

Give first dose of an appropriate

antibioticsGive first of paracetamol for

pain.





E ar pain

and

P us draining from

the ear (less

than 14 days)

Acute Ear

Inf ection



Action:

Give an antibiotic for 5 days.

Give Paracetamol for pain.

Dry the ear by wicking.






P us draining from

the ear (less

than 14 days)

Chronic Ear

Inf ection



Action:

Dry the ear by wicking.





Assess for Malnutrition and Anemia

Assess for:

-Visible severe wasting.

-Edema of both feet.

-Palmar pallor.

-Weight for age.



`Classify Nutritional Status

V isible severewasting or

E dema of both

feet or

Severe palmar

pallor

Sever e

Malnutrition or

Sever e Anemia



Action:

Give vitamin A.




`Classify Nutritional Status

Some palmar

pallor

V ery low weight

for age

Anemia or Very

Low Weight



Action:

-Assess child¶s feeding and counsel the mother according to the FOOD on the COUNSEL THEMOTHER chart.

-If some pallor.

If feeding problem, follow up in 5 days.

Give iron

Give mebendazole/albendazole if:

Child is 12 months or older

Has not had a dose in the previous 6 months.




Action:

-if very low weight for age.

Give vitamin A.


-Advise mother when to return

immediately.



Child¶s Immunization Schedule

Age

Birth6 weeks

10 weeks

14 weeks

Vaccines

DPT-2 OPV -2 HEPA-2DPT-1 OPV-1 HEPA-1

DPT-3 OPV-3 HEPA-3

BCG



Vitamin A Supplementation Schedule

-First dose at 6 months or above.

-Subsequent doses every 6 months.

Documents

Fever Related Disease Ppt