IMCI Chart Booklet for Childhood Illness Management
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Questions and Answers

What initial signs should be checked to identify if a child needs urgent attention?

  • Skin color and presence of rash
  • Child's appetite and weight
  • Child’s temperature and pulse rate
  • Child’s ability to drink and level of consciousness (correct)

    • In cases of severe diarrhea, what is the appropriate immediate treatment to prevent dehydration?

  • Giving solid food immediately
  • Offering just water to drink
  • Providing Oral Rehydration Solutions (ORS) (correct)
  • Administering an antibiotic

    • Which classification indicates a child is experiencing very severe disease?

  • Child shows lethargy or is unconscious (correct)
  • Child has a mild cough
  • Child's skin is cold but alert
  • Presence of diarrhea without any other symptoms

    • What is the recommended first step when a child with diarrhea is found to be lethargic?

    <p>Provide diazepam if convulsing now (A)</p> Signup and view all the answers

    What should be monitored regarding a child who has been vomiting?

    <p>Frequency and the amount of vomit (A)</p> Signup and view all the answers

    What is a significant symptom indicating urgent medical attention for a child?

    <p>Convulsions in a child (B)</p> Signup and view all the answers

    What should be considered if a child is lethargic and not able to drink?

    <p>Refer to the hospital urgently (C)</p> Signup and view all the answers

    What should be done if a child presents with any general danger signs?

    <p>Refer to the hospital urgently. (D)</p> Signup and view all the answers

    Which of the following symptoms indicates severe dehydration in a child?

    <p>Slow skin pinch return (D)</p> Signup and view all the answers

    When treating cholera, when should antibiotics be administered?

    <p>In conjunction with ORS treatment (B)</p> Signup and view all the answers

    When should appropriate antibiotic treatment be administered to a child with fever?

    <p>For any identified bacterial cause of fever. (D)</p> Signup and view all the answers

    What indicates a need for urgent referral in a child?

    <p>Child shows a general danger sign (B)</p> Signup and view all the answers

    What is the appropriate action if a child is drinking eagerly but appears irritable?

    <p>Administer ORS and monitor (C)</p> Signup and view all the answers

    What is an indicator that a child requires follow-up after a fever?

    <p>If the fever is present every day for more than 7 days. (A)</p> Signup and view all the answers

    If a child exhibits two signs of dehydration, what is the next recommended step?

    <p>Give fluid, zinc supplements, and food (D)</p> Signup and view all the answers

    What symptom suggests that immediate medical intervention is necessary for a child with measles?

    <p>Clouding of the cornea or pus draining from the eye. (C)</p> Signup and view all the answers

    What should be done if cholera is present in the area and a child is 2 years or older?

    <p>Provide antibiotics (C)</p> Signup and view all the answers

    Which of the following signs would likely indicate immediate intervention is needed?

    <p>Child has sunken eyes and lethargy (C)</p> Signup and view all the answers

    Which of the following symptoms would NOT typically require urgent hospital referral?

    <p>Mild abdominal pain. (D)</p> Signup and view all the answers

    What is a common symptom of mild dehydration that does not require urgent medical attention?

    <p>Skin pinch goes back fairly quickly (C)</p> Signup and view all the answers

    What is the recommended treatment for severe complications in a child with measles?

    <p>Vitamin A treatment and appropriate antibiotics. (A)</p> Signup and view all the answers

    What should be assessed in a child with suspected severe illness?

    <p>Presence of fever and any general danger signs. (C)</p> Signup and view all the answers

    What fluid should be given to a child with mild to moderate diarrhea?

    <p>Oral Rehydration Solution (ORS) (A)</p> Signup and view all the answers

    Which of the following is not a recommended action for a child presenting with persistent fever?

    <p>Disregard fever if no other symptoms are present. (C)</p> Signup and view all the answers

    Flashcards

    Refer to hospital urgently (green)

    Take the child to the hospital immediately if no general danger signs are present, but there is a fever.

    Fever over 7 days

    If fever persists daily for over a week, refer the child for assessment.

    Measles within 3 months

    If the child has measles now or within the last 3 months, monitor for mouth ulcers and eye complications.

    Deep/extensive mouth ulcers

    If mouth ulcers are deep or extensive, this is a severe complication related to measles.

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    Pus draining from the eye

    If pus is draining from the eye, apply antibiotic treatment if measles is present or present recently.

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    Vitamin A treatment

    Administer vitamin A treatment if there are general danger signs.

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    Appropriate antibiotic treatment

    Use antibiotics for identified bacterial fever causes.

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    Follow-up in 2 days

    Schedule a follow up visit for the child if fever persists, 2 days after the initial assessment.

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    General Danger Signs in Children

    Signs indicating a child might be seriously ill and need urgent care.

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    Assessing Sick Children

    Evaluating a child to understand their illness severity.

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    Initial visit Evaluation

    First time assessment of a child who is sick. The evaluation includes checking for general danger signs.

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    Follow-up Visit

    Subsequent visit related to a prior illness.

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    Assessing for Difficulty Breathing

    Assessing a child for difficulties in breathing, which can indicate a serious condition.

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    Urgent Attention Required

    A child exhibiting general danger signs needs immediate medical attention.

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    Child's Main Symptoms

    Key symptoms, like cough or difficulty breathing, which help determine the nature of the child's illness.

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    Pre-referral Treatment

    Treatment given by the assessor before referring the child to a specialist

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    Lethargic or Unconscious

    The child is very sleepy or unresponsive. They may be difficult to wake up or may not wake up at all.

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    Restless and Irritable

    The child is constantly moving and crying. They may be difficult to soothe.

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    Not able to drink or drinking poorly

    The child is not taking in enough fluids. They may refuse drinks or only take small sips.

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    Drinking eagerly, thirsty

    The child is very thirsty and wants to drink frequently.

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    Skin pinch goes back very slowly

    When you pinch the skin on the abdomen, it takes a long time to return to its normal position.

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    Sunken eyes

    The eyes appear sunken in the sockets.

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    Yellow: SOME DEHYDRATION

    The child has some dehydration but is not severely dehydrated.

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    Give fluid, zinc supplements, and food for some dehydration (Plan B)

    If the child has some dehydration, give them fluids, zinc supplements, and food. This is Plan B.

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    Study Notes

    Integrated Management of Childhood Illness (IMCI) Chart Booklet

    • This booklet is a resource for nurses, clinicians, and other health professionals to manage sick young infants and children under 5 years old.
    • It outlines the IMCI case management process.
    • The booklet has two main sections:
      • Sick Child Aged 2 Months to 5 Years
      • Sick Young Infant Aged Up to 2 Months
    • Each section provides clinical algorithms that match the steps of the IMCI case management process.

    Sick Child Aged 2 Months to 5 Years

    • The section includes clinical algorithms for the care of children between ages 2 months and 5 years.
    • The booklet includes essential information and instructions
    • Focuses on children presenting with several symptoms and conditions (e.g., cough, fever, and diarrhoea).

    Sick Young Infant Aged Up to 2 Months

    • This section contains clinical algorithms for infants aged up to 2 months.
    • It provides critical information and instructions on how to manage unwell infants.
    • It focuses on the management of various symptoms and illnesses specific to young infants (e.g., feeding problems, and local bacterial infections).

    Common Symptom Assessment

    • The chart booklet includes a structured method for assessing common symptoms, such as cough, fever, and diarrhoea, through the "look, listen, feel" approach.
    • The assessment is colored-coded to guide clinicians toward urgent referrals.
    • The "look, listen, feel" approach involves physically evaluating the child (e.g., assessing breathing rate, evaluating for local bacterial signs, and assessing for hydration status).

    HIV Assessment and Management

    • The document includes specific assessments for HIV-exposed and -infected infants, with tailored management plans, including ARV prophylaxis initiation or continuation.
    • The assessment includes evaluating the breastfeeding status of the child and mother, and considering whether the child has been breastfed.
    • It is crucial that if a child has a danger sign, it is referred immediately

    Treatment and Counselling

    • The booklet provides specific treatment recommendations and guidance on counselling caregivers for home care.
    • Counselling includes instructions for providing medications, fluids, and nutrients as well as ensuring appropriate follow-up care.
    • Counselling includes specific guidance for feeding (including exclusive breastfeeding, feeding by a cup, and using infant formula when appropriate), for home care, and for when to return to the clinic.

    Growth Charts

    • Included charts (weight-for-age, weight-for-length, and weight-for-height) show the child's normal growth potential
    • These charts are essential for tracking and understanding adequate growth.
    • The guidelines advise to refer children with unusual or abnormal growth patterns (in the assessment) to professionals

    Immunizations

    • The schedule for immunizations is provided.
    • Ensuring that all recommended immunizations are given on time is crucial for protecting the child's health

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    Related Documents

    IMCI Chart Booklet PDF

    Description

    This quiz focuses on the Integrated Management of Childhood Illness (IMCI) techniques for health professionals dealing with sick infants and children under 5 years old. It covers key clinical algorithms and case management processes for sick children aged 2 months to 5 years and for infants up to 2 months. Test your knowledge on important symptoms and management strategies outlined in the IMCI Chart Booklet.

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