DOÑA REMEDIOS TRINIDAD ROMUALDEZ MEDICAL FOUNDATION, INC.

COLLEGE OF NURSING
2nd Semester, S.Y. 2019-2020

NCM 109 LECTURE: CARE OF MOTHER AND CHILD AT RISK

CASE SCENARIO 1:
MANAGEMENT
CLASSIFICATION
ASSESSMENT (TREATMENT,
(COLOR AND SPECIFIC
(SIGNS & SYMPTOMS) COUNSELING, FOLLOW-UP
CONDITION)
CARE)
 Give fluid, zinc supplements,
and food for some dehydration
(Plan B)
 If child also has a severe
 Able to drink classification:
 No vomiting  Refer URGENTLY to
hospital with mother giving
 Drinks eagerly
SOME DEHYDRATION frequent sips of ORS on
 Skin goes back slowly
the way
 Diarrhea for 2 days  Advise the mother to
 No blood in stool continue breastfeeding
 Advise mother when to return
immediately
 Follow-up in 5 days if not
improving
 Give oral Amoxicillin for 5
days
 If wheezing (or disappeared
after rapidly acting
bronchodilator) give an inhaled
bronchodilator for 5 days
 Cough for 5 days  Soothe the throat and relieve
 Chest indrawing PNEUMONIA the cough with a safe remedy
 Fast breathing  If coughing for more than 14
days or recurrent wheeze, refer
possible TB or asthma
assessment
 Advise mother when to return
immediately
 Follow-up in 3 days
 Severe wasting  Give vitamin A
SEVERE MALNUTRITION
 Very low weight for age  Refer URGENTLY to hospital
 Severe palmar pallor SEVERE ANEMIA  Refer URGENTLY to hospital

CASE SCENARIO 2:
ASSESSMENT CLASSIFICATION MANAGEMENT
(SIGNS & SYMPTOMS) (COLOR AND SPECIFIC (TREATMENT,
 COUNSELING, FOLLOW-UP
CONDITION)
CARE)
 Diarrhea for 5 days  If child has no other severe
 No blood in stool classification
 Drinking poorly  Give fluid for severe
 Skin goes back very slowly DIARRHEA WITH SEVERE dehydration (Plan C)
 Lethargic DEHYDRATION  Bring urgently to the hospital
 Sunken eyes with mother giving frequent
sips of ORS
 Advise mother to breastfeeding
 Cough for 3 days  Give oral Amoxicillin for 5
 Chest indrawing days
 Fast breathing  If wheezing (or disappeared
after rapidly acting
bronchodilator) give an inhaled
bronchodilator for 5 days
 Soothe the throat and relieve
PNEUMONIA the cough with a safe remedy
 If coughing for more than 14
days or recurrent wheeze, refer
possible TB or asthma
assessment
 Advise mother when to return
immediately
 Follow-up in 3 days

CASE SCENARIO 3:
MANAGEMENT
CLASSIFICATION
ASSESSMENT (TREATMENT,
(COLOR AND SPECIFIC
(SIGNS & SYMPTOMS) COUNSELING, FOLLOW-UP
CONDITION)
CARE)
 Cough for 5 days  Give oral Amoxicillin for 5
 Fast breathing days
 chest indrawing  If wheezing (or disappeared
after rapidly acting
bronchodilator) give an inhaled
bronchodilator for 5 days
 Soothe the throat and relieve
PNEUMONIA the cough with a safe remedy
 If coughing for more than 14
days or recurrent wheeze, refer
possible TB or asthma
assessment
 Advise mother when to return
immediately
 Follow-up in 3 days
 Fever for 4 days MALARIA  Give recommended first line
 Temp: 38°C oral antimalarial
 Give appropriate antibiotic
treatment for an identified
bacterial cause of fever
 Give one dose of paracetamol
in clinic for high fever
(38.5°C)
 Advise mother when to return
immediately
 Follow-up in 3 days if fever
persists
 If fever is present every day for
more than 7 days, refer for
 assessment.
 Fever  Give vit. A treatment
 Generalized rash
MEASLES
 Measles now or within the last
3 months
 No palmar pallor
NO ANEMIA
 No edema of both feet