Exercise E F Q

EXERCISE E
1. Pano has had diarrhea for five days. He has no blood in the stool. He is irritable. His eyes are
sunken. His father and mother also think that Pano's eyes are sunken. The health worker offers
Pano some water, and the child drinks eagerly. When the health worker pinches the skin on the
child's abdomen, it goes back slowly.
Record the child's signs and classification for dehydration on the Recording Form.
Circle the child's signs on the classification table below to show how you selected the child's
classification.
- Some dehydration
Signs
- irritable
- sunken eyes
- drinks eagerly
- skin pinch goes back slowly
DOES THE CHILD HAVE DIARRHEA? Yes X No_
● For how long? 5 Days

● Is there blood in the stool? No
● Look at the child's general conditions. is the child:

- Lethargic or unconscious? No
- Restless and irritable? Yes Some dehydration
● Look for sunken eyes
● Offer the child fluid. Is the child:
- Not able to drink or drinking poorly?
- Drinking eagerly, thirsty? Yes
● Pinch the skin of the abdomen. Does it go back:
- Very slowly (longer than 2 seconds)
- Slowly? Yes
2. Jane has had diarrhea for 3 days. There was no blood in the stool. The child was not lethargic or
unconscious. She was not irritable or restless. Her eyes were sunken. She was able to drink, but
she was not thirsty. The skin pinch went back immediately.
Record the signs of dehydration and classify them on the Recording Form:
- No dehydration
Signs
- no signs


- Restless and irritable? No No dehydration
- Drinking eagerly, thirsty?
- Slowly?
3. Gretel has had diarrhea for 2 days. She does not have blood in the stool. She is restless and
irritable. Her eyes are sunken. She is not able to drink. A skin pinch goes back very slowly.
- Severe dehydration
Signs
- sunken eyes
- not able to drink
- skin pinch goes back slowly

● Look at the child's general conditions. is the child: Severe

- Lethargic or unconscious? No dehydration
- Restless and irritable? Yes
- Not able to drink or drinking poorly? Yes
- Very slowly (longer than 2 seconds) Yes
- Slowly?
4. Jose has had diarrhea for five days. There is no blood in the stool. The health worker assesses
the child for dehydration. The child is not lethargic or unconscious. He is not restless and
irritable. His eyes look normal and are not sunken. When offered water, the child drinks eagerly.
A skin pinch goes back immediately.
- No dehydration
Signs
- no signs


- Slowly?
EXERCISE F
Case 1: Maya
Maya is at the clinic today because she has had diarrhea for 4 days. She is 25 months old. She weighs 9
kg. Her temperature is 37.0°C. Maya has no general danger signs. She does not have cough or difficult
breathing. The health worker said to the mother, "When Maya has diarrhea, is there any blood in the
stool?" The mother said, "No." The health worker checked for signs of dehydration. Maya is not
lethargic or unconscious. She is not restless or irritable. Her eyes are not sunken. Maya drinks eagerly
when offered some water. Her skin pinch goes back immediately.
Record Maya's signs on the Recording Form and classify them.
MANAGEMENT OF THE SICK CHILD AGED 2 MONTHS UP TO 5 YEARS
Name: Maya Age: 25 months Weight (kg): 9 kg Temperature (°C): 37.0°C
Ask: What are the child’s problems? Diarrhoea Initial Visit? X Follow-up Visit?
ASSESS (Circle all signs present) CLASSIFY
CHECK FOR GENERAL DANGER SIGNS General danger

● NOT ABLE TO DRINK OR BREASTFEED sign present?
● VOMITS EVERYTHING
● CONVULSIONS Yes _ No X
● LETHARGIC OR UNCONSCIOUS
● CONVULSING NOW Remember to use
Danger sign when
selecting
classifications
DOES THE CHILD HAVE COUGH OR DIFFICULT BREATHING? Yes_ No X


- Slowly?
Case 2: Rana
Rana is 14 months old. She weighs 12 kg. Her temperature is 37.5°C. Rana's mother said the child has
had diarrhea for 3 weeks. Rana does not have any general danger signs. She does not have a cough or
difficult breathing. The health worker assessed her diarrhea. He noted she has had diarrhea for 21 days.
He asked if there has been blood in the child's stool. The mother said, "No." The health worker checked
Rana for signs of dehydration. The child is irritable throughout the visit. Her eyes are not sunken. She
drinks eagerly. The skin pinch goes back immediately.
Record Rana's signs and classify them on the Recording Form
Name: Rana Age: 14 months Weight (kg): 12 kg Temperature (°C): 37.5°C

Danger sign when
selecting
classifications

- Restless and irritable? Yes Some dehydration
- Slowly?
Case 3: Adeola
Adeola is 7 months old. She weighs 5.6 kg. Her temperature is 37°C. Her mother brought her to the clinic
because Adeola has diarrhea. Adeola does not have any general danger signs. She does not have cough
or difficult breathing. The health worker assessed Adeola for signs of diarrhea. The mother said the
diarrhea began 2 days ago. There is no blood in the stool. Adeola is not lethargic or unconscious, and she
is not restless or irritable. Her eyes are sunken. When offered fluids, Adeola drinks eagerly as if she is
thirsty. The skin pinch goes back immediately.
Record Adeola's signs and classify them on the Recording Form.
Name: Adeola Age: 7 months Weight (kg): 5.6 kg Temperature (°C): 37°C

Danger sign when
selecting
classifications


- Restless and irritable? No Some
● Look for sunken eyes dehydration
- Slowly?
Case 4: Heera
Heera is 3 years old. She weighs 10 kg. Her temperature is 37°C. Her mother came today because Heera
has a cough and diarrhea. She does not have any general danger signs. The health worker assessed her
for cough or difficult breathing. She has had cough for 3 days. He counted 36 breaths per minute. She
does not have chest indrawing or stridor. When the health worker asked how long Heera has had
diarrhea, the mother said, "For more than 2 weeks." There is no blood in the stool. Heera is irritable
during the visit, but her eyes are not sunken. She is able to drink, but she is not thirsty. A skin pinch goes
back immediately.
Record Heera's signs and classify them on the Recording Form.
Name: Heera Age: 3 years old Weight (kg): 10 kg Temperature (°C): 37°C
Ask: What are the child’s problems? Cough and Diarrhoea Initial Visit? X Follow-up Visit?

Danger sign when
selecting
classifications
DOES THE CHILD HAVE COUGH OR DIFFICULT BREATHING? Yes X No

● For how long? 3 Days (Cough)
● Count the breaths in one minute 36 breaths per minute. Fast breathing?
● Look for chest indrawing No
● Look and listen for stridor No
● Look and listen for wheezing

● For how long? more than 2 weeks

- Restless and irritable? Yes No dehydration
- Slowly?
Case 5: Ernesto
Ernesto is 10 months old. He weighs 8 kg. His temperature is 38.5°C. He is here today because he has
had diarrhea for 3 days. His mother noticed blood in the child's stool. Ernesto does not have any general
danger signs. He does not have cough or difficult breathing. The health worker assesses the child for
diarrhea. "You said Ernesto has had blood in his stool. I will check now for signs of dehydration." The
child is not lethargic or unconscious. He is not restless or irritable. He does not have sunken eyes. The
child drank normally when offered some water and does not seem thirsty. The skin pinch goes back
immediately.
Record Ernesto's signs and classify them on the Recording Form below.
Name: Ernesto Age: 10 months Weight (kg): 8 kg Temperature (°C): 38.5°C

Danger sign when
selecting
classifications

● Is there blood in the stool? Yes

- Slowly?

Exercise E F Q

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EXERCISE E

DOES THE CHILD HAVE DIARRHEA? Yes X No_

● For how long? 5 Days

● Look at the child's general conditions. is the child:

DOES THE CHILD HAVE DIARRHEA? Yes X No_

● For how long? 3 Days

● Look at the child's general conditions. is the child:

DOES THE CHILD HAVE DIARRHEA? Yes X No_

● For how long? 2 Days

● Look at the child's general conditions. is the child: Severe

DOES THE CHILD HAVE DIARRHEA? Yes X No_

● For how long? 5 Days

● Look at the child's general conditions. is the child:

Record Maya's signs on the Recording Form and classify them.

MANAGEMENT OF THE SICK CHILD AGED 2 MONTHS UP TO 5 YEARS

Name: Maya Age: 25 months Weight (kg): 9 kg Temperature (°C): 37.0°C

ASSESS (Circle all signs present) CLASSIFY

CHECK FOR GENERAL DANGER SIGNS General danger

DOES THE CHILD HAVE COUGH OR DIFFICULT BREATHING? Yes_ No X

DOES THE CHILD HAVE DIARRHEA? Yes X No_

● Look at the child's general conditions. is the child:

Record Rana's signs and classify them on the Recording Form

MANAGEMENT OF THE SICK CHILD AGED 2 MONTHS UP TO 5 YEARS

Name: Rana Age: 14 months Weight (kg): 12 kg Temperature (°C): 37.5°C

ASSESS (Circle all signs present) CLASSIFY

CHECK FOR GENERAL DANGER SIGNS General danger

DOES THE CHILD HAVE COUGH OR DIFFICULT BREATHING? Yes_ No X

DOES THE CHILD HAVE DIARRHEA? Yes X No_

Record Adeola's signs and classify them on the Recording Form.

MANAGEMENT OF THE SICK CHILD AGED 2 MONTHS UP TO 5 YEARS

ASSESS (Circle all signs present) CLASSIFY

CHECK FOR GENERAL DANGER SIGNS General danger

DOES THE CHILD HAVE COUGH OR DIFFICULT BREATHING? Yes_ No X

DOES THE CHILD HAVE DIARRHEA? Yes X No_

● Look at the child's general conditions. is the child:

Record Heera's signs and classify them on the Recording Form.

ASSESS (Circle all signs present) CLASSIFY

CHECK FOR GENERAL DANGER SIGNS General danger

DOES THE CHILD HAVE COUGH OR DIFFICULT BREATHING? Yes X No

DOES THE CHILD HAVE DIARRHEA? Yes X No_

● Look at the child's general conditions. is the child:

Name: Ernesto Age: 10 months Weight (kg): 8 kg Temperature (°C): 38.5°C

ASSESS (Circle all signs present) CLASSIFY

CHECK FOR GENERAL DANGER SIGNS General danger

DOES THE CHILD HAVE COUGH OR DIFFICULT BREATHING? Yes_ No X

DOES THE CHILD HAVE DIARRHEA? Yes X No_

● Look at the child's general conditions. is the child:

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