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Management of The Sick Young Infant Age 1 Week Up To 2 Monthsüüü

This document provides guidance on managing sick young infants between 1 week and 2 months old. It outlines steps to assess potential problems like bacterial infection, diarrhea, feeding issues or low weight. It also provides guidance on checking immunization status and breastfeeding assessment. The key things to check for include fast breathing, chest indrawing, fever, lethargy, sunken eyes and skin pinch test to assess dehydration. It also involves observing a breastfeeding to check attachment and suckling effectiveness. The goal is to identify issues needing urgent hospital referral or potential breastfeeding problems.

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Jonah Maasin
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207 views3 pages

Management of The Sick Young Infant Age 1 Week Up To 2 Monthsüüü

This document provides guidance on managing sick young infants between 1 week and 2 months old. It outlines steps to assess potential problems like bacterial infection, diarrhea, feeding issues or low weight. It also provides guidance on checking immunization status and breastfeeding assessment. The key things to check for include fast breathing, chest indrawing, fever, lethargy, sunken eyes and skin pinch test to assess dehydration. It also involves observing a breastfeeding to check attachment and suckling effectiveness. The goal is to identify issues needing urgent hospital referral or potential breastfeeding problems.

Uploaded by

Jonah Maasin
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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MANAGEMENT OF THE SICK YOUNG INFANT AGE 1 WEEK UP TO 2 MONTHSüüü

Name: Ben
Age: 7 months Weight: 6 kg Temperature: 38.5 °C

ASK: What are the infant's problems? He


has been coughing for 2 weeks Initial visit? ü Follow-up Visit? ü

ASSESS (Circle all signs CLASSIFY TREAT


present)

CHECK FOR POSSIBLE


BACTERIAL INFECTION

• Has the infant • Count the breaths in one minute. 55 breaths per
had minute
convulsions? Repeat if elevated Fast breathing?
• Look for severe chest indrawing.
• Look for nasal flaring. SEVERE REFER TO THE
• Look and listen for grunting. PNEUMONIA NEAREST
• Look and feel for bulging fontanelle. HOSPITAL
• 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 Yes No
HAVE DIARRHOEA?

• For how long? Days • Look at the young infant's general condition. Is the
• Is there blood in the infant:
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 • Determine weight for age. Low Not Low
feeding? Yes No
• 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 • If infant has not fed in the previous hour, ask the
the previous hour? 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 Yes No


outward

- More areola above than Yes No


below the mouth

no attachment at all not well good


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

BCG DPT1 DPT2 (Date) Return for follow-


up in:

OPV 0 OPV 1 OPV 2 Give any


immunizations needed
today:

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