A 6 month baby presented with RR of 54/min with retractions. How should the doctor at PHC manage the case?
Correct Answer: Classify as pneumonia, sta oral antibiotics
Description: Presence of tachypnea and retractions classifies as pneumonia in this child. Hence this child should be given oral antibiotics. SIGNS CLASSIFY AS TREATMENT Any general danger sign or stridor in a calm child Severe pneumonia or VERY severe disease Give 1st dose of Inj. Ampicillin & Gentamycin and refer urgently to hospital Chest indrawing AND/ or fast breathing Fast Breathing < 2 months ->60/min < 2-12 months ->50/min < 1-5 years ->40/min PNEUMONIA 1. Give oral Amoxycillin x 5 days 2. If wheezing present, inhaled bronchodilator x 5D 3. Soothe the throat & relieve cough with a safer remedy 4. If Cough > 15 days or recurrent wheeze - refer for the evaluation of TB or bronchial asthma 5. Advise the mother when to return immediately 6. Follow up in 2 days If the O2 saturation < 90% - refer urgently No sign of pneumonia or very severe disease NO PNEUMONIA Cough or cold Steps 2 to 5 Follow up in 5 days General danger signs - Persistent vomiting - Unconsciousness - Convulsions - Inability to drink or breast feed - Lethargy CAUTION : CHEST INDRAWING IS NOW CLASSIFIED AS PNEUMONIA & NOT AS SEVERE PNEUMONIA
Category:
Pediatrics
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