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Control of Acute Respiratory Infections (CARI)

A. No Pneumonia: Cough or Cold
  1. No chest in delineation
  2. No dissipated living ( <2 mos. – <60/min,2-12 mos. – near than 50 per tiny; 12 mos. – 5 years – near than 40 per tiny)
  1. If coughing past than 30 days, relate for assessment
  2. Assess and bargain ear problems/sore throat if present
  3. Advise dowager to afford settlement care
  4. Treat fervor/wheezing if present
Home Care: 1. Feed the Child
  • Feed the branch during illness
  • Increase sustentation subjoined illness
  • Clear the nose if it interferes delay sustentation
2. Increase Fluids
  • offer the branch extra to drain
  • Increase breastfeeding
3. Soothe the throat and help the cough delay a unendangered remedy 4. Watch for the subjoined signs and symptoms and recur straightway if they occur
  • Breathing becomes intricate
  • Breathing becomes dissipated
  • Child is not telling to drain
  • Child becomes sicker
B. Pneumonia
  1. No chest in delineation
  2. Fast living (near than 2 mos- 60/min or past ; 2-12 mos. – 50/min or past; 12 mos. – 5 years – 40/min or past)
  1. Advise dowager to afford settlement care
  2. Give an antibiotic
  3. Treat fervor/wheezing if present
  4. If the branch’s mode gets whack, relate urgently to hospital; if proper, shape 5 days of antibiotic.
Antibiotics Recommended by WHO
  • Co-trimoxazole,
  • Amoxycillin, Ampicillin, (p.o)
  • or Procaine penicillin (I.M.)
C. Strict Pneumonia
  1. Chest indrawing
  2. Nasal flaring
  3. Grunting ( near sounds made delay the opinion)
  4. Cyanosis
  • Refer urgently to hospital
  • Treat fervor ( paracetamol), wheezing ( salbutamol)
D. Very Strict Disease
  1. Not telling to drain
  2. Convulsions
  3. Abnormally slumberous or intricate to reanimate
  4. Stridor in assuage branch
  5. Severe lowernutrition
  • Refer urgently to hospital
Assessment of Respiratory Infection
Ask the Dowager
  1. How old is the branch?
  2. Is the branch coughing? For how hanker?
  3. Age near than 2 months: Has the adolescent infant stopped sustentation polite?
  4. Age 2 months up to 5 years: Is the branch telling to drain?
  5. Has the branch had fervor? For how hanker?
  6. Has the branch had convulsions?
Look, Listen
1. Count the breaths in one tiny.
 Age  Fast Breathing  Less than 2 months  60/tiny or past  2 months- 12 months  50/tiny or past  12 months – 5 years  40/tiny or past
2. Look for chest in delineation. 3. Look and incline for stridor. Stridor occurs when there is a narrowing of the larynx, trachea or epiglottis which interferes delay air entering the lungs. 4. Look and incline for wheeze. Wheeze is a undecided melodious uproar which shows signs that living out (exhale) is difficult. 5. See if the branch is abnormally slumberous or intricate to reanimate. (Suspect meningitis) 6. Feel for fervor or low substantiality sky. 7. Check for strict lower nutrition


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