PROTOCOL FOR THE IN-PATIENT MANAGEMENT OF …



PROTOCOL FOR THE IN-PATIENT MANAGEMENT OF SEVERELY MALNOURISHED CHILDREN

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|STEP |PREVENTION |WARNING SIGNS |IMMEDIATE ACTION |

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|1.Hypoglycaemia |For all children:- |1. Low temperature |Perform Dextrostix test on admission, before giving glucose or feeding. |

|(Low blood sugar)|1. Feed straightaway and then every |(hypothermia) noted on|If conscious and blood sugar is below 3mmol/L (or below 54mg/dL), or dextrostix are |

| |2-3 hours, day and night. |routine check. |not available, or test cannot be done immediately:- |

|Hypoglycaemia is |2. Encourage mothers to watch for any |2. Child feels cold. |1. Give 10% glucose (50ml) or sugar solution (1rounded teaspoon sugar in 3 |

|a blood glucose |deterioration, help feed and keep |3. Child becomes |tablespoons of water). 10% glucose is best, but give sugar solution or F75 formula |

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