4 - Integrated Management of Childhood Illnesses 2025

Dysentery

A child coming in with bloody diarrhea falls under what classification using the IMCI?

Co-trimoxazole x 5 days

Drug of choice for Dysentery based from IMCI?

No dehydration

A child with a history of AGE but can drink, has no sunken eyeballs or sensorial change, and with good skin turgor is classified based on IMCI as?

Treatment for AGE with no dehydration based on IMCI?

Some dehydration

A child with AGE presenting with irritability, sunken eyeballs, and eagerness to drink is classified based on IMCI as?

Fluid replacement as follows:

• Weight (g) x 0.075

• Weight (kg) x 75

Management for patients classified as some dehydration based on IMCI?

Severe dehydration

A child with AGE coming in with drowsiness, sunken eyeballs, refusal to drink, and poor skin turgor is classified based on IMCI as?

Management of a child with severe dehydration based on IMCI?

Tetracycline

If a child with AGE is 2 y/o and above and there are cases of cholera in the community, the DOC will be?

245 mEq/L

[vs 311 mEq/L in the old WHO ORS]

Read:

Osmolarity of reformulated Oral Rehydrating Solution?

Zinc 10-20 mg of Zn per day for 10-14 days

[reduces the number of diarrheal episodes in the 2-3 months after supplementation]

Supplementation with which micronutrient reduces severity and duration of, and prevents subsequent episodes of diarrhea?

• Lethargy/unconsciousness

• Vomiting

• Convulsions

• Inability to drink / breastfeed

Danger signs stated in the IMCI