this all of my documents i use in my NLE and NCLEX just want to share to our coleagues and students.. i feel blessed so share my blessings to all of u guys..just leave a comment and i apprc8 all : ...
IMCI FOR AGE 2 MONTHS UP TO 5 YEARS PNEUMONIA 1st Line Antibioti Antibiotic c Amoxici Amoxicillin llin 25mg/kg 25mg/kg 2x daily daily x 3 days nd 2 Line Antibiotic Antibiotic Cotrimoxazole Cotrimoxazole 2 x daily daily for for 3 days BEFORE: 1st line Cotimoxazole 2 x 5 days 2nd Line Amoxicillin Amoxicillin 3 x 5 days SIGN & TREATMENT TREATMENT for pneumonia & no pneumonia - If with with wheeze, wheeze, give a trial trial of rapid-acti rapid-acting ng inhaled inhaled broncho bronchodila dilator tor ( up to 3 cycles) before they are considered as pneumonia & prescribed antibiotic - If wheezin wheezing g ( even if it disapp disappeared eared after after rapid rapid acting acting bronchodi bronchodilator lator)) give give inhaled bronchodilator for 5 days - Use 0.5 ml Salbutamol Salbutamol diluted diluted in 2.0 2.0 ml of sterile sterile water water per dose nebulizati nebulization on DYSENTER DYSENTERY Y : Ciprofloxacin Ciprofloxacin 15 mg/ KBW 2x a day for 3 days Nalidixic Acid
BEFORE:
MALARIA - Give Artemether-Lumefantrine Artemether-Lumefantrine P. Falciparum alciparu m Treatment : Day 1 - 3 Artemeter Artemet er –Lumefantrine –Lumefa ntrine ( Coartem) Coarte m) Day 4 Primaquine Single dose (C/I for 1 y/o & below) P. Vivax Treatment: reatment : Day 1 - 3 Chloroquine Chloroquin e x 3 days Day 4 – 17 Primaquine Mixed P. Falciparum alciparu m & P. Vivax : Day 1 - 3 Artemeter Artemet er + Lumefantrine Lumefa ntrine Day 4 - 17 Primaquine Drug Resistant Malaria Malaria : Refer w/ Bld Bld Smear of Day 7, 14, 21 21 & 28 : Give Quinine sulfate 300 or 500 500 mg/tab AND Clindamycin 10 mg/kg 2x a day for 3DAYS 3DAYS Pre-referral Pre-referral treatment: : Give Artesumate suppository for uncomplicated P. P. falciparum in infants or young children who cannot swallow Chronic Ear Infection wks
Aside from wiking give Optical Quinolone ear drops x 2
ACUTE EAR INFECTION
Oral Amoxicillin Amoxicillin
SEVERE MALNUTRITION: MUAC ( MID-UPPER ARM CIRCUMFERENCE) CIRCUMFERENCE) is included in assessment : If referral is not possible, give Modified Milk INFANT FEEDING ( 6 months and below) If age 4 months old AND not gaining adequate weight , ADD complementary complementary food ( give 1 – 2 tbsp 1 – 2 times per day after breastfeeding) INFANT INFANT FEEDING (6 months up to to 23 mons). If breastfeeding, give complimentary food 3x per day AND 1 – 2 nutritious snacks
If NOT breastfeeding, give complimentary food 5 x / day WITH 1 or 2 cups of milk Give small chewable items to eat w/ fingers. Let the child feed by himself, provide help INFANT FEEDING – if HIV is a public health health problem, women should HIV & INFANT receive HIV testing & counseling If HIV-infected HIV-infected & replacement replacement feeding is possible, possible, avoid breastfeeding If HIV-infected HIV-infected & replacement replacement is NOT possible, possible, breastfeed on the 1 st month only
POSSIBLE SERIOUS BACTERIAL INFECTION NOW “VERY SEVERE DISEASE” _________________________ _____________________________________ _________________________ __________________________ __________________________ _____________garcia garcia
