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    Checklist - IMCI-Sick Young Infant

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    Ariel Delos Reyes
    This document provides a checklist for assessing and managing sick young infants between 1 week and 2 months of age. The checklist includes signs to check for possible bacterial infection, diarrhea, feeding problems or low weight, breastfeeding assessment, immunization status, and other problems. Key items include checking temperature, breathing rate, chest indrawing, ear drainage, skin pustules, lethargy, feeding frequency and attachment, weight for age, and immunizations needed. The checklist aims to classify and treat any illnesses found in the young infant.

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    Checklist - IMCI-Sick Young Infant

    Uploaded by

    Ariel Delos Reyes
    63 views3 pages
    This document provides a checklist for assessing and managing sick young infants between 1 week and 2 months of age. The checklist includes signs to check for possible bacterial infection, diarrhea, feeding problems or low weight, breastfeeding assessment, immunization status, and other problems. Key items include checking temperature, breathing rate, chest indrawing, ear drainage, skin pustules, lethargy, feeding frequency and attachment, weight for age, and immunizations needed. The checklist aims to classify and treat any illnesses found in the young infant.

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    Checklist – IMCI-Sick Young Infant

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    This document provides a checklist for assessing and managing sick young infants between 1 week and 2 months of age. The checklist includes signs to check for possible bacterial infection, diarrhea, feeding problems or low weight, breastfeeding assessment, immunization status, and other problems. Key items include checking temperature, breathing rate, chest indrawing, ear drainage, skin pustules, lethargy, feeding frequency and attachment, weight for age, and immunizations needed. The checklist aims to classify and treat any illnesses found in the young infant.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    63 views3 pages

    Checklist - IMCI-Sick Young Infant

    Uploaded by

    Ariel Delos Reyes
    This document provides a checklist for assessing and managing sick young infants between 1 week and 2 months of age. The checklist includes signs to check for possible bacterial infection, diarrhea, feeding problems or low weight, breastfeeding assessment, immunization status, and other problems. Key items include checking temperature, breathing rate, chest indrawing, ear drainage, skin pustules, lethargy, feeding frequency and attachment, weight for age, and immunizations needed. The checklist aims to classify and treat any illnesses found in the young infant.

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    Checklist – IMCI

    MANAGEMENT OF THE SICK YOUNG INFANT AGE 1 WEEK UP TO 2 MONTHS

    Name: _________ Age: ___________ Weight: ______kg Temperature: ______ °C

    ASK: What are the infant's problems? ______ Initial visit? _________ Follow-up Visit?_____

    ASSESS (Circle all signs present)   CLASSIFY TREAT

    CHECK FOR POSSIBLE BACTERIAL INFECTION      

    • Has the infant had convulsions? • Count the breaths in one minute.______ breaths per minute    
    Repeat if elevated ______ Fast breathing?
    • Look for severe chest indrawing.
    • Look for nasal flaring.
    • Look and listen for grunting.
    • Look and feel for bulging fontanelle.
    • Look for pus draining from the ear.
    • Look at umbilicus. Is it red or draining pus?
    Does the redness extend to the skin?
    • Fever (temperature 37.5°C or feels hot) or low body temperature (below 35.5°C or feels cool).
    • Look for skin pustules. Are there many or severe pustules?
    • See if young infant is lethargic or unconscious.
    • Look at young infant's movements. Less than normal?

    DOES THE YOUNG INFANT HAVE DIARRHOEA? Yes _____ No ______    

    • For how long? _____ Days • Look at the young infant's general condition. Is the infant:    
    • Is there blood in the stools? Lethargic or unconscious?
    Restless or irritable?
    • Look for sunken eyes.
    • Pinch the skin of the abdomen. Does it go back:
    Very slowly (longer than 2 seconds)?

    Slowly?

    THEN CHECK FOR FEEDING PROBLEM OR LOW      


    WEIGHT

    • Is there any difficulty feeding? Yes ___ No ___ • Determine weight for age. Low ___ Not Low ___    
    • Is the infant breastfed? Yes ___ No ___
    • If Yes, how many times in 24 hours? ____ times
    • Does the infant usually receive any other foods or drinks?
    Yes ___ No ___
    If Yes, how often?
    • What do you use to feed the child?

    If the infant has any difficulty feeding, is feeding less than 8 times in 24 hours, is taking any other food or drinks, or is low weight for age AND has no    
    indications to refer urgently to hospital:
    ASSESS BREASTFEEDING:      

    • Has the infant breastfed in the previous hour? • If infant has not fed in the previous hour, ask the mother to put her infant to the breast. Observe    
    the breastfeed for 4 minutes.
    • Is the infant able to attach? To check attachment, look for:

      - Chin touching breast Yes ___ No ___    

      - Mouth wide open Yes ___ No ___    

      - Lower lip turned outward Yes ___ No ___    

      - More areola above than below the mouth Yes ___ No ___    

      no attachment at all not well attached good attachment    

      • Is the infant suckling effectively (that is, slow deep sucks, sometimes pausing)?    

      not suckling at all not suckling suckling effectively    


    effectively

      • Look for ulcers or white patches in the mouth (thrush).    

    CHECK THE YOUNG INFANT'S IMMUNIZATION STATUS Circle immunizations needed today. Return for next  
    immunization on:

    (Date) Return for follow-up in:


    ________
    Assess other problems   Give any immunizations
    needed today (date/time):
    _____________

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