Lupita Disease

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Severe Pneumonia

 Cough for 2 days


 Fast breathing- 55 bpm
 Chest indrawing
 Stridor

Treatment:

 Give nebulized adrenaline and prednisone


o Add 1 ml of 1:1000 adrenaline (one vial) to 1 ml of saline and administer using a
nebulizer.
o Always use oxygen at flow-rate of 6 - 8 litres.
o Repeat every 15 minutes, until the child is transferred (or the stridor disappears)
 Give first dose of 1.75ml ceftriaxone IM
o Dilute 250 mg vial with 1 ml of sterile water, or 500 mg with 2 ml sterile water (250 mg
per ml).
o Give the injection in the upper thigh, not the buttocks.
 Keep child warm, and refer URGENTLY

ACUTE MALNUTRITION WITHOUT MEDICAL COMPPLICATION

 <11.5cm
 Very Low weight

Treatment:

 Give 5ml amoxicillin for 5 days


 Give dose of 100, 000 IU Vitamin A
 Provide RUTF 2 ½ sachet per day or multivitamin syrup 5ml once daily
 Follow up in 7 days

FEVER OTHER CAUSE

 38.5 C- 2 days

TREATMENT

 Give paracetamol

ANEMIA

 Some pallor

TREATMENT

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