IMCI Huong Dan Xu Tri Long Ghep Cac Benh Thuong Gap O Tre Em

dt ilc ffi ItCIc rI N it 11 tl Il1 ll 11 tl rt i{oLt olslill:lr: 2^^.) TRE BENH TU THANG DEN TUOI crAvA euAu r-o4r rnE egNH Denh gie, phan lo?i va xAc dinh ali6u tri Kidm tra cac ddu hi6u nguy hidm toan then .2 Sau d6 h6i vd cac tri6u chfng chinh: Tre c6 ho ho5c kh6 thA khong? T16 c6 bi tiCu chay kh6ng? T16 c6 sdt khong? .4 Phan Phan Phan Phan loai sdt c6 nguy co s6t 161 loai s6t kh6ng c6 nguy co sdt 161 loais6i loai sdt xudt h uydt vdn d6 tai khong? Kidm tra suy dinh dudng ve thi6u meu Kidm tra tinh trang ti6m ch0ng c0a tr6 Danh gi6 cac vdn afd kh6c T16 c6 otEu rnq rnE BENH (ri6p theo) 86 Di6u tri phdng dudng huy6t 11 Paracetamol - - 11 Thu6c sdt ret cho sdt r6t n5n9 12 Bar TRE BENH TU diiu tr! ti6u chay ve ti6'p tuc cho en Phac ir6 A: Di6u tri ti6u chay tai nha 13 Phac dd B: DiAu tri c6 m6't nu6c bing ORS 13 Phac dd C: Nhanh ch6ng di6u tri mdt nudc neng14 Bir dich at6i v6iti6u chay mdt nddc nang hoec Benh rA ndng c6 s6c hoac HOi chung so'c sdt xudt huydt Dengue 14 thom dlch Chim s6c tr6 kh6m lai ViCm phdi 15 Ti6u chey k6o dai 15 DIEU TRI TRE BENH Hudng den ba mg cho tr6 u6ng thu6c tai nha Kheng sinh aludng u6n9 Thudc s6t r6t u6n9 Vitamin A .9 Vi6n sit .9 Mebendazo|e .9 Vion kem Sirlbutamol Tlom chring cho tet ca kd bCnh theo llch 10 1v 15 sdt r6t hoac s6t-gi6ng s6t r6t .16 S6t - Khong gi6ng s6t ret 16 Sdt - Kh6ng c6 nguy cd sdt r6t 17 C6 kha nang dang m5c s6i 17 s6i c6 bidn chfng mit vaihoac micng 17 S6t - C6 kha nang sdt xua't huy6t Dengue 18 Sdt - Kh6ng gidng sdt xudt huydt Dengue 18 Viom tai 19 Vdn dd nu6i dddng chda hop |y 19 Thi6um6u 19 Nhe can 'l llrrdno d6n bA mg didu tri nhi6m khudn t?i ch5 nhir I )lOI lll nlridnr klrLrCn rnit bing l('lrix)yrlir] l)iOu klvliII lilL llrir rr:11 .10 , l)ll1ll lrl l(xll nUi)n(, l);'1 (l xi]nh methylen 1% lrrr'tr lllyxr,rrr lxniii il'y, 10 I i'rr ulrirr lx' l,n|rt r:ir: llll/ir; :Ur loin 10 THAM VAN CHO BA ME 11 O UNICEF -* DEN THANG TUOI DANH GIA, PHAN LOAI VA DIEU TR! D6nh gia, phan lo?iva xiic dinh diiu tr! Ki6m tra b6nh rat nang hoec tinh trang nhi6m khudn tai cho 24 Kidm tra vanq .25 T16 c6 bi ti6u chay kh6ng? 26 Ki6m tra vdn dd nu6i dudng ve nhe can 27 Kidm tra tlnh trang tiOm chring c0a tr6 .28 Danh gia cac vdn dA kh6c .28 da Di6u tr! tr6 nh6 va tham ven cho ba me Cho li6u kheng sinh tiCm bdp deu tiCn 29 Didu tri phdng afudng huy6t 29 Hrr6ng din bir me gitr dm tr6 trcn dddng t6i b6nh vi6n .30 Cho kh6ng sinh dudng u6ng diau tri nhi6m khudn tai ch6 30 Di6u ki nhi6m khudn tai ch6 nh2r 31 oidu tritiou chay, xem hLr6ng dAn DlEu TRtTRE aENH 1s-t+ Ti6m ch0nq cho ta-t ce tr6 nh6 bi bonh theo |ich 31 Hudng da;cach bd tr6 va ng;im b;t vu dung 32 Hu6ng dan bA me cach v5t s.ra 32 Hu6ng dAn ba me c6ch cho 5n bing c6c 33 Hddng dan ba me gif dm tr6 nhe can tai nha 33 Hd6ng dan ba me chem s6c k6 tai nha 34 chSm s6c tr6 nh6 b! bcnh kh6m hi Ki6m tra dd-phat hi n "BOnh ra't ndng" qua trlnh theo d6i 35 35 Nhi6m khuen tai ch6 Dinh dudng O6nh gi6 ch6 al6 nu6i dudng 116 20 C6c hudng dAn nuOi duong tr6 .21 Tham vdn cho ba me vd vdn dd nu6i dudng .22 Cic loai nu6c u6ng Nlrlltl0 llllr0r: l:hi rhrnU (i (:n(: co rri y t6 llrll|r lriilrhlr,i ll ,irtlt Y tA- Vi6t Nam Tdng cudng nddc u6'ng bi b6nh 23 Khi nao dua tr6 de'n kh6m Khuyen ba me ndo dua tr6 d6n kham 23 Nhe can so v6i tudi, ndm mi6ng 37 CAC PHIEU GHI x0rnirnE eEu ruo oE'r z rnArc rudr .sa xrlrni rnE eENx rUz raArc sEru s ru6r .+o BIEU OO CAN NANG THEO TUOI _ '.,.', ,.,,42 43 THANG -2014 HOÀNG YÊU sAr.rH FI t"l @ DANH GIA VA P HA N LOAI TRE BENH ) THANG DEN TUOI DANH GIA PHAN LOAI XAC DINH DIEU TRI H6r BA ME LY Do oUA rRE Dr KHAM Xec d nh xem day a kharn len dau hay kh6m vi ),, - N€iu day la 6n kham lai s0 dung cac hudng dan lrong phan KHAN,I LAI ' N6u day le khAm len dau, d6nh gie tr6 nhu sau: 4^r KIEM TRA CAC DAU HIEU NGUY HIEM TOAN THAN u6t: NHIN: T16 c6 thd udng hoic bu me dfoc kh6ng? T.6 c6 ngt ti bi hay kh6 denh thrc khdng? T16 c6 n6n tet ca rnoi thii kh6ng? T16 c6 co giat khOng? s0 DUNG rAr cA cAc xsur,rc tuor.rc Ur.rc vot cAc ,.,rRrEu cHrJr.ro vA cAc vAru sE M9t tra c6 bdt ct, da-u hieu nguy hidm loan than neo cdn dudc ttru y Cap CUU; hoen thinh viec d6nh gie vA c6c diiu tr! tru6c chuydn dd viQc chuydn vien kh6ng bi chim rra NEU co, Trong bao nor xuAM: leu? O€rm nhip th6 Tim diu kong m6t phnt TRE PHAI hieu r[1 l6m l6ng ngqc NAI\,4 ) Tim nghe tidng thd rit va ti-6n!l thd kho ktrar' YEN Phen bai HO hoAc xno rud CAC DAU HIEU PHAN LOAI \ Bdt ki, da'u hi6u nguy hidm toan than nao hodc Rrlt lom ldng ngqc ho4c ThA rit khinim VCn vrEu pn6l lAruc HOac BENH RAT NANG trd: Tha nhanh la thafq darr > 50 fh p < l2lhin{r lnrra lhr'il NC'u Tii VIEM PHOI I Kh6nq c6 cac da-u hieLr cia vi6m phdi ho5c bonh rdl ning xx6rc vrEm pxdr: Ho HoAc cAM LANH J I t > > > Th6 nhanh Iir I2llrrrt(la!r - 40 lllr tl 5l tr lr,, I llr tlII DIEU TRI (Cac didu *" lricap cft trudc khich'ryan vien dudc in dam) khilng sinh thich hqp vd vihn ho?c binh rdt neng, chuydn cAP di benh viin.* Cho fieu deu pholi neng Cho khang sinh thtch hop vot viem phdi aho Salbuldmol ,re.r Lre LU lho kno kne > > Liinr !i:irrl ho banq ciic thu.jc an toan > l)ilf l)ii nrL, klr n:ro (j,in (,uir tre ci6'n kham > Klrillrr iri srrLr |qiry > > > > > > Ndu Cho Lem D5n ho tr6n 30 ngdy, chuydn di benh vi6n Saburamol ndu kd c6 thd khd khd glam ho blng cac thu6c an toan ba me nao cdn dda tr6 ddn khem Khem lai sau ngey, n6'u kh6ng ti6n tridn t6t X& tri va'n dd hong ndu c6 "** Nei khong the'chuyeh td benh di benh vien, bey xu tti theo cec huong ddn trcng phtl ttlc E "Khi kh6ng thd chuyeh te bqnh di benh vi6n duoc" hi fieu Di6u tr! trd benh *" Ne;J trd co hach c6 suhg, dau vit c6 chAi xudi ti6i mdu teng dtlc hang, ding khdng sinh Penicilline V uc;ng tong 1O ngey ve paracetamot nei ti co dau honq J J t; f, I f f r!t HOÀNG YÊU SAU DO H6IVE GAC TRIEU CHUNG GTIIIIH: T16 c6 ho hoic kh6 th6 kh6no? CUA TRE DE PHAN LOAI BENH li, ii, ii, 1., il, ll, ii l,i i.l ii Trd c6 bi ti6u lj ij, ii it, ii, li, lj, ij i,, l: ij li, i l,r lJ li l{ lj, l.l, l"l chiy kh6ng? > Hai c6c da'u hiCu sau: uEu co, uot: Trong bao lau? Cho tinh tr?ng uAr nudc xuAM: Quan s6t tlnh trang chung cl]a tre dd phat hi6n: Li bi hodc kh6 danh thaic? Vat va, kich thich? Xem mit tr6 c6 trinq khonq? Cho tr6 u6ns nr;dc xem tr6 c6: bai ttEu cgAv Kh6ng udng dudc hodc udng kem? U6ng heo hirc khat? NANG > [,45r lrnng Udng h6o Ndu c6 MAr NuOc hL?c, nlng khec: Bi dich ddiv6i ma't nu6c ning (Ph6c dd C) Ndu tr6 tudi hodc l6n h@ ve dang c6 dich ti tal itla phltu g, cho mat li6u khdng sinh ti Ndu tr6 kh6ng c6 c6c phan loai benh - Haitrong cac deu hi6u sau: Valve, kich thich tricdcdc phdn loAl blt r l gkhdc: chuyCn cliP dt b*nh vtfln Nhdc bl ng cho udng ien fiJc tihg thla ORS trdn dudng ttl vefidp tuc cho bi > > kh6t Ndp v6o da me't cham Kh6ng di cec ddu hieu dd phan loai c6 met nu6c hodc mdt nu6c nang KHoNG rrAr Nu6c te c.t mit phen loqi ndng khAc: chuyAn cAP di banh vi6n Nhic be me cho u6ng li6n tUc ti/,g thia ORS tran dudng di ve tidp tuc cho bi > > > > Dan be me nao cen dlta tre ddn kh6rn Kham lai sau ngayli)ndu kh6ng ti6n tridn l6t > > > > Ll5ng them dich va cho en theo phdc d6 A Bd sung kem Dan be me nao can dua tr6 d6n kh6m Kh6m lai sau n6u kh6ng tidn tndn tdt Bi dich ve cho en theo ph6c d6 B Bd sung k6rr Mdt rdt cham (tren giay)? N.4a't chem? 14 ngey hoac hdn Nei co meu phan danh gie phen bai vd di6u tri nhLt kh^m 6n deu C6 ma't n(6c hoac mdt nu6c neng -:, TIEU CHAY KEo oAr NANG bi Kh6ng udng drroc hoac udng k6m Phen Nei ti6u chey TtA ddn khem MAr Nu6c V6o n6p da bqng - (1) thrc [rat tr0ng N6p v6o da mdt rdt cham - C6 m6u phan khdng? Li bi hoac kh6 d6nh N6:u - 11 Kh6ng mdt nu6c c6mautrongphan I > > Didu tri mdt nu6c tru6c chuydn trlr trudng hop c6 phan loai ndng khec Chuydn di bAnh vien Khuy6n ba me cech nu6i dudng h6 bitieu chey k6o TIEU CHAY KEO DAI ay darl Kh6m laisau l>> Cho vdt lv khans sinh thtch hqp Kham laisau "6i HOÀNG YÊU Ji lj, l co sdt kh6ng? (sdt tU mdy hOm trLJdc hodc dang c6 nhi6t dO i 37,5'C (1) hoac sd thdy n6ng) NEU CO: sot c6 nguy cd sot r6t Xac dinh nquy cd s6t r6t: c6 nguy cd = S6ng vrng sot ret(2) hoac deln ving s6t r6t thang gan day N6u tre c6 nguy co s6t r6t, hay ley am mau dd x6t nghiem KST s6l ret hoac gui ddn nor c6 kinh h dn vi gdn nhii'1 Xiic dinh nguy co sdt xuii huy6i: C6 nguy co - S6ng vrlng s6t xuat huydl vung sol ( ,al 'luvpl r,ol.g I rJ;1g.n day n6t: xuAu: Sdt bao lau rdi? N6u da s6t qu6 c6 phai nao cing s6t kh6ng? (2) so7 Tim va khAm cd cdng Tim va kham th6p ph6n9 Tim dau h 6u chay nu6c mili kh6nq? Phan loai Ban toarn than va MOt cac da'u hieu: ho, chay mni mil dd i kh6ng co guy co sdt mic s6i holc di m5c s6i vong thang gan day rliu l( (i) (,(, lro,r virl v,r klr(ir(t lr rrlr(,t, irrrlr (lriIr tiry lr l)r SOT RET SOT s6r GIONG SOT RET - xnOr.rc g6rue s6T RET (') Kh6nO c6 cac ddu hi6u lrtlrr c6 sdr sdr- KH0NG HCUV Co Cho li6u ddu thudc sdt rit phi hlp vd s6t rdt ndng Cho li6u ddu kheng sinh thich hqp Didu tri phong dudhg huyei Cho lidu paracetamol ui phong khdm neu f Z38,fC chuvdn G,iP di b6nh vi6n > > > > > Cho thu6:c s6i rdt thich hop Cho li6u paracetamol tai phdng khiim n4i Dan ba me nao cen du'a 116 den kham nqay f 238,5'C Kham lai sau n6u van s6t Neu tr6 sot hang ngay, k6o daitren ngay, chuydn vien > > > > > d benh Cho thu6l s6i ret thich hop Cho lieu paracetamol taiphong hhdm neu f238.5"C Dan ba me nao can dua tr6 ddn kham KhAm la sau ndu van cdn sdt N€iu tr6 sot hang ngay, k6o daitren ngay, chuydn vien > > > > Cho d b6nh lidu paracetamol td phong khem ndu Pa38,YC Den bar me nao can dLIa tr6 d6n khem nqay Kh6m laisau ndu v5n cdn s6t N6u tre sot hanq keo dar tr6n / chuydn dr b6nh vi6n c6 S6r nEr SOT XUAT Bat mach: Mach nhanh va y6uL'? Tlm c6c ch,im, not ho:rc rring xuat huyet dud da Tim ddu hi6u chiv meLr rnii ho:c , 1a, mdL lO HUYET l > > > > > > > > Cho c.i li6o atdu khdng sinh thich hqp v.it benh 6t ndng s67 tiphdng hq itltdng huydt patacetamol tqi phdng khdm nei Chuydn GiP di benh vien Di6u Cho iei Cho li€u paracetamol t?i phdng khdm f :38,5C nei f Z38,YC Din bd me naodua tr6 ddn kham Kh,lm lai sau ndu v5n s6t Ndu tr6 s6t hing ngay, keo dai tren ngay, chuydn di bCnh vi6n s07 I BfNH RAr NANG deu hi6u n0uy lrti[r lr)i\ll than nao hobc Md giac mac hoa(i Vet loel nridno silr ln)r(: rlrrl Bat > Cho vitamin A > Cho li6u dlu kheng sinh thtch hgp ki l,, rrrLr i r rr llr'.I l),rr rr'l |r, |,1 ( sdr BreN cHTJNG NANG O, srir nrr r,r crttrro uAt vA/HoAc MIENG''r khonq'1 loi Tre c6 n6n meu hoac di ngoai phan den kh6ng? Neu co nguy co sot xu.t huyct: hoac chiy kh6ng? Bal hy oau nreu nquy hronr toan lhan nao hoic cd c0ng hoac thop pnonq c6 khe nang dang mdc sdi hoac dA nrac sdr irong vdng th6nq adn day Tim dau h 6u ch3y mi mal Tim deu h 6u mo gizrc mac Tiri cao v6t o6t mi6ng xenr co seu ho:c rdnq kh6nq? lr(l Chua c6 k6t qua x6t nghiam hoac x6t nghiem KST sdt r6t am tinh yit C6 nguyen nhan gay s6t khac () sot Phan loai In! r;o sril r;;ro r:r lrrr T fgay khof(t') T16 co b ch:ly nra! nrur NA,NG > > > > > KHONG CO NGUY CA SoT RET 16t Ndu tra c6 kha nanq danq BENH Rir NANG c6 soT HoAc soT RET X6i nghi6m KSTSR duong linh v6r: - P falciparun haac hoac ildn mic 56t: T16 c6 m6c sdi vong th6ng gen day S5r ner Chlra c6 kel qu; x61rlllr,;llr hoac xet ngh 6m KST s61 r6t em tinh !a Kh6ng chay nruiva Kh6ng Um dLroc nguyirl nhan gay s6l kh;c Tim c6c diu hi6u c6 nang NGUY Co Hat ky oau nreu nguy nrem toan than nao hoac Cd cl-mg hodc tnop pnong Ban toAn than ve mot c6c d5u hieui ho, chay m0i, m5l il6 S6ihong vdng thang gen day > > N6it md gidc mqc holc chdy mi mCt, tra thu6c md met Chuy(ii cAP di benh vien > ch N,,L ,l,rLr l,r,l rrrrrl (l!rr lr l)ir(t xafh nrelhy en 1% lr( ), ,, ,tl,r',trrrrr lx)r,rl :J r, > ll,rrr l),r r)r1r klr rr.o can.Jrra > Klrlr rrsrr! fq:ry trd den kham CO KHA NANG DANG MAC SOt > > > Cho vitamin A DA MAC SOI > Cho vitanin A n6u chua u6'ng holc sau mdc s6i Den ba me nalo can dua Kham laisau ng2ry 116 ddn kham p-p-jr-;n-j+-,{-1ri- HOÀNG YÊU T16 co b! li li -li-'li r rl li 1i li-]i-'ll-rj li ]j Ji-l{r{ N NI IN N I.N _r Y |ll l]l I li/\ I ll^ll' rl l|Ar 'rrllrl INAN(, \,1 [1 l,t|r |l^|lr.r]|Ar , |lllrAIll^lli,rI),I lll llllli/\lN^llr,r ()1,()l Ir(',t |lI N(lIIIN(i NnN(i lla) (]tlltN(;rx)Clia)l xt]AI ltuyEI LIENGUE { I,hIIN NNNIJ5OI AUAI hUYI IDTNCUTNANG tlt r{_r{_r{_r{_ri_ri_ri_ri ri_u_r{_u_r{_u_urJ Plrarr loai sot co nguy cd sot xuit huydt VIF M XII'JNG CFiI]M VIEM PHOI KHONG VIEM PHOI: HO HOACCAM LANH scir ner sot co B|EN cHur.rc vA r Honc vrEruc cO KHA NANG DArc vAc sor VIEM TAI CAP NGUYEN NHAN GAy s6T KHAC nhu: vi6m hong, vi6m mo td bao, ap xe, nhi6m khudn ti6t niou, thddng han, lao, cAc Nhiet dd ney dLta theo nhi6t dO nech Nhiet dO hau n'n cao hon 0,5oC (2) Vdng cb nguy co s6t rd ve sdt xudt huydt dua theo huong den cia Sd Y td tinh G ) d ni6n Trung, Tey nguyen, DOng Nam b6 ve Ce Mau, ndu khAng co kinh hi6n vi dd x6c dinh sdt r't thi hey di6u tri m fiAu thudc sdt ret (4) Kh6ng qucn ki6m trc c;;c nguyAn nhan gey sdt ve di6u tri cha te theo bgnh do:xem b;ng CAC ttcuvett tluAru cAy SOt i6 Xac Oin'n tte co -ach nhanh khi: mach ; i 6A En tung phlt ddi vdi trA dn1i l tudive> l2OEntrongl ph(tt ddivditr6tit l ddn duoi Studi (6) CAc bidn chung quan khec cia sdi: viem phdi, thA t, tieu chey, viem bi ve suy dinh dudng duoc phen bqi trcng c^c beng kh,c HOÀNG YÊU () rRA suy DrNH Du6ttc vA rntEu xuAut: lrm diu hreu o;v mon nano rd ret Phan loai TINH TRANG : Ral nh.,t, Nh.,t, Trm diu Gay mdn neng, 16 r6t hoec Md giac mac hoac Ldng ban tay rdt nhgt hodc Phar ca hai bin chen Nhe can so vditudi nhdl SUY DINH DUdNG NANG vA/HoAc > > THIE,U MAU NANG > Ldng ban tay nhdt hoec llm dau nleu md qlac mac Trm dau hieu lonq ban lay Ban tay co tvtRu THIEU MAU VAiHOAC > I I hr6u phu ce har b;n chan tuo'r I > > > I Kh6ng nhe can so v6i tu6iva khong c6 cac ddu hi6u c0a suy dinh dudng va thidu meu > KHONG THIEU MAU vA KHONG NHE cAN > rcEru rRA TiNH TRANG reM cH0Nc c(lA TRE NEU cAN LICH TIEM CHONG: sinh LAo VGB thang BAr LIET thang thang BAr L|ET BAI LIET BH.HG-UV- BH-HG-UVVGB.Hib DANH 1 Ndu c6 thi6u meu: I Sd O6nh gie chd dO 5n c0a tr6 va tham vdn cho cac ba me nudi dLidng trd lheo o DINH DTJONG hdong ddn THAM vAN CHO BA ME Ndu c6 ve'n dd nu6idudng chda hop l)r, khAm lai sau ngary - I xec drnh can nanq lheo chuydn cAP di benh vien - NHE cAN I Cho vitamin A VGB.Hib BH.HG-UVVGB-Hib I nEu cu0ue th6ng s6r r 18 thanq Bd sung sit Cho mebendazole hobc albendazole ndu tr6 tn 12 th6ng tudi va chda udng thu6c giun vdng theng gdn day Khem laisau '14 N6u nhe c6n so v6itudi, kham lai sau 30 ngey Din ba me nao nen cho tr6 ddn kham Ndu tr6 d(6i tudi, dann gia cnd oo nuoi dudng tnB va tham va'n cho bd me nu6i dudng tr6 theo phen DINH DUONG hu6ng dEN THAM VAN CHO BA ME Ndu co vdn dd nu6i dddng chua hop ly, khdm lai sau Ddn ba me nao nen cho ae dgn kham - > > Tiem chirng tdt ca tr6 bi bonh n6u c6 thd cho vd nha Neiu ban kh6ng thd ti6m ch0ng cho tr6 hom ph6i chSc ch5n ba me bi€it can phai ti6m ch0ng cho tr6 nao vd dau > Neu tr6 cdn duoc u6ng vacxin Bai li6t nhung dang bi ti6u chiy, vin cho tre ucing vacxin vd dd nghi bar me dua tr6 ddn uong li6u bd sung sau d6 thang > > l\y'6i moi vacxin VGB c6ch it nha't thang vi6n, kh6ng cdn cho u6ng/ti6m vacxin Vi€;t vao gia'y chuydn vi6n loai vacxin cdn ucing/ticm cho tr6 N€iu tr6 can chuydn cll cAc vAr,r gE KHAC fiai mfi! hqrrg/4lg ha!!!rni!, da li6u, m5t, c6c vdlr di vi ngo41!!qq ) oAN/ eAo ruHUlc ltru cho li6u deu khang sinh thich hdp va cac alidu tri cdp cou kh,rc rucuy ltdH,4 toeru THAN DUOC cHUY€N ncnv "a, TriI trudng hdp: Bar nu6c cho tr6 theo Ph6c dd C c6 thd giai quydt cac ddu hi6u nguy hidm thi khong phai chuydn tr6 noa fR€ co oAu HOÀNG YÊU rcdrvr '1luu'r{]tr I rr 1l 11 UUUUUUUUU 'ir 1{ 1{ 1t 1|i{ ll.tl,.a.a.a.al t6 lX 11 -1 1't 1,1 1,r 11 11 11 11 ind$!-! 1., DIEU TRI TRE BENH TIEN HANH DIEU TRITRE THEO CAC BUOC DA XAC DINH TRONG HUONG DAN DANH GIA VA PHAN LOAI rnE Cho khing sinh drrong uong thich hop u6tc oot vol vtEru pHdt noac vtEtrl rnt cAp cAtt tt4ue Theo cac hrr6ng dan du6i day cho tdt cir c6c loqi thudc u6'ng tai nha va theo cac hu6ng din bang lidu ding cho tmg loai thudc: > tfi thudc vi cho thu6c vio trli Giai thich ring ti't ci cic loqi thudc phai cho udng trgn vgn ci dqt didu tri, thim chi tr6 di ghi nhan l6n > dA hdn > > Dtra thudc cho bi mg DAn ba me dd thudc ndi kh6 r5o, kh6ng c6 chuQt, c6n trirng vd d|c bial le ngodi tdm tay cria tr6 Kidm tra su hidu bidt cfia ba m9 trrr6c cho tr6 vi nhd COTRIMO)GZOLE vi6n 480 mg 2len ngay, (48 mg/kg/ngey 4- €}6l v6t LY , Dirng khang sinh de dLrdc khuydn nghi dd didu ki ly tai dia phuong ban ngary COTRIMOXAzOLE hoec NALIDIXIC AXIT CAN NANG hoac TUOI Me r[ra sach tay BAo tr6 nh5m mit lai Dirng khdn va nu6c sach lau nhe cho het m0 Didu tri lo6t mi6ng bing xanh methylen 1o/ohodc glycerin borat 3% > Didu tri loet micng m6i 2ldn Me rira sach tay Lau miong tr6 bhng ddu ng6n tay c6 qudn vAi mdm sach, thdm nLtoc mu6i sinh ly Sau d6 tra md tetracyclin vao ca hai m5t m6i ldn Tra mot it thudc md vao bCn mi dudi Ria sach tay sau Boi xanh methylen 1% hoac glycerin borat 3% vao vet loet Rita sach tay tra thu6c mjt het Khong tra bat ky thn'gi khiic vao mit trA l B3o tr6 nhin ngr,r6c l6n r,,l) IllU dreu lri cho den TIEM cHtNG cHo rAr cA rnE Br BENH THEo LrcH neu khong thd dudc DAN BA ME KHr ruAo cAu DUA TRE euAy LArod rrErvr > Lirm giim ho bing c6c thudc an toin Nhfing thudc an toan n6n dirng C6c che phA'nr thudc clong y - Thudc d6ng dLroc : bd phe, be ho Thuoc nam : hoa hting bach, quet hap dl]dng phen Nhong thu6c c6 hai n0n tranh: - CZrc che phdm khang histamin (Phenergan, Theralene ) - C6c loai thudc ho c6 opizoic, an than, corticoid HOÀNG YÊU > ... ind$!-! 1., DIEU TRI TRE BENH TIEN HANH DIEU TRITRE THEO CAC BUOC DA XAC DINH TRONG HUONG DAN DANH GIA VA PHAN LOAI rnE Cho khing sinh drrong uong thich hop u6tc oot vol vtEru pHdt noac vtEtrl rnt... khonq'1 loi Tre c6 n6n meu hoac di ngoai phan den kh6ng? Neu co nguy co sot xu. t huyct: hoac chiy kh6ng? Bal hy oau nreu nquy hronr toan lhan nao hoic cd c0ng hoac thop pnonq c6 khe nang dang... ii11 ,t HUONG DAN BA ME CHO TRE UONG THUOC TAI NHA nhi ra't c6c loai thu6c udng tai lroo chc hrldng tl6n o trarrg "no "a lrrrdng den b*ng lidu ding cho tung loai thudc I va tneo cac tso sung sdt