guidelines for the integrated management of severe acute malnutrition
guidelines for the integrated management of severe acute malnutrition
guidelines for the integrated management of severe acute malnutrition
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ACF-In Guidelines <strong>for</strong> <strong>the</strong> <strong>integrated</strong> <strong>management</strong> <strong>of</strong> SAM Annexes 165<br />
Test Results Special Medicines* Routine Medicines<br />
Date<br />
Vitamin A ………..iu<br />
Folic Acid 5mg (po)<br />
Antibiotic 1<br />
Time<br />
Antibiotic 2<br />
Malaria Rx<br />
Worm rx in phase II<br />
Antibiotic 3<br />
Resomal ml<br />
IV fluid/blood<br />
NG tube<br />
Hb/Pcv<br />
Malaria smear<br />
Glucose<br />
TB test<br />
Time<br />
Time<br />
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21<br />
*Enter Name, dose and route <strong>of</strong> administration (oral-po, intramuscular-IM, or intravenous-IV) <strong>for</strong> each drug. Enter an X in <strong>the</strong> upper left corner if prescribed - <strong>the</strong> nurse signs <strong>the</strong> box when <strong>the</strong> drug is given.<br />
OBSERVATION<br />
Card<br />
IMMUNISATION DATES<br />
Y<br />
BCG<br />
N Birth 1 2 3 4<br />
Polio<br />
DPT<br />
Measles Extra Extra<br />
Education Given On<br />
Causes <strong>of</strong> <strong>malnutrition</strong><br />
Diarrhoea, RTI, Fever<br />
DISCHARGE<br />
Dates Sig.<br />
Skin, eye and ear infection<br />
Play and stimulation<br />
Child nutrition<br />
Child care<br />
Hygiene<br />
Sexually Transmitted Disease<br />
Family Planning<br />
O<strong>the</strong>r……………………………..<br />
Vitamin A given Y N<br />
Immunisation up to date Y N<br />
Breastfeeding on discharge Y N
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