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Sumbad, Mark Bhen E.-Activity-6-IMCI
Sumbad, Mark Bhen E.-Activity-6-IMCI
Activity 6
Henri is 3 weeks old. His weight is 3.6 kgs. He is breastfed. Henri is brought to the clinic because he is
having difficulty breathing. Henri has fast breathing. His mother says Henri does not have difficulty
1. What urgent pre-referral treatments are needed for Henri’s very severe disease? Place check (/) mark
___/__Advise mother how to keep the infant warm on the way to the hospital
2. Henri needs ampilicin (250 mg vial) and gentamicin ( 2 ml vial containing 20 mg) for very severe disease.
3. What would you do to prevent low blood sugar? Place check (/) mark which is/are INCLUDED and X
4. When ask about immunizations. Henri’s mother says that Henri was born at home and had no
immunizations.
Henri needs BCG vaccine. Would you give him the vaccine today? _______Yes________
In how many weeks should Henri return for the next immunization ____at 6 weeks of age 6/3/2020 __________
Situation # 2: Case study 2 : Jenna (29 pts)
Jenna is 7 weeks old, her weight is 3 kgs, Her mother brings Jenna to the clinic because she has
diarrhea. The health worker assesses Jenna and classified her as Severe Disease or Local bacterial
When asked about feeding, Jenna’s mother says that Jenna usually feeds well. She breastfeeds 3 x a
day. She takes a bottle of breastmilk substitute 3x a day. The health worker checks Jenna’s weight for
age. Jenna has low weight for age. Then the health worker looks in her mouth. He sees no ulcers or
Then the health worker assesses breastfeeding. Jenna has not fed in the previous hour. Her mother
agrees to try to breastfeed now. The health worker observes that Jenna’s chin is not touching the
breast. Her mouth is not very wide open, her lips are pushed forward. The same amount of areola is
visible above and below the mouth. Her sucks are quick and are not deep.
The health worker classifies Jenna as having Feeding problem or low weight.
2.Which plan would you use to treat Jenna’s dehydration? (tick your answer)
3. Which treatment/s does Jenna need for feeding problem or low weight? Place check(/) mark which is/are
___/__ Teach mother to express breast milk and feed using a cup
___/__ Advise the mother to breastfeed as often as long as the infant wants, day and night
___/__ Counsel the mother about breastfeeding more, reducing other foods or drinks, and using a cup
___/__ Advise about correctly preparing breast-milk substitutes and using a cup
___x__ Advise the mother how to feed and keep the low weight infant warm at home
___x___ Advise mother to give home care for the young infant
Find out how much ORS Jenna should be given for the 1st 4 hours of treatment. Write down the lower
5. Should Jenna receive any other fluids in addition to ORS during the 4 hour period? Place check(/) mark
__/__ Water
__x___ Tea
6. After 4 hours of treatment, Jenna is reassessed. She is calm and her eyes are not sunken. Her skin pinch
goes back immediately. The health worker classified her as having NO DEHYGRATION. Which plan would you
7. How many days should Jenna return for a follow-up visit (earliest time)? _____________2 days______________
8. What should the health worker tell Jenna’s mother about when to return immediately?