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Extra info for Clinical Guidelines Diagnosis and treatment manual for curative programmes in hospitals and dispensaries

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A few symptomes and syndromes 1 Anaemia – Anaemia is defined as a haemoglobin level below reference values1. It is a frequent symptom in tropical settings where 10 to 20 % of the population present with Hb levels less than 10 g/dl. ); haemoglobinopathies (sickle cell disease, thalassaemias); certain bacterial and viral infections (HIV). – In tropical settings, the causes are often interlinked, the two most common causes are nutritional deficiencies and malaria. The groups most at risk are children and young women, particularly during pregnancy.

5°C or axillary < 35°C) is a frequent cause of death in the first days of hospitalisation. Prevention measures include keeping the child close to the mother ’s body (kangaroo method) and provision of blankets. In case of hypothermia, warm the child as above, monitor the temperature, treat hypoglycaemia and underlying infection. 44 1. A few symptomes and syndromes In hypoglycaemia, suspected or confirmed (test strip), administer glucose PO if the child is conscious (50 ml of sugar water [50 ml water + a teaspoon of sugar] or 50 ml of milk); if the child is unconscious, 1 ml/kg of 50% glucose IV.

In newly admitted child), it can be estimated at 2-5% of the child’s current weight. 250 kg). Regardless of the target weight, rehydration should be stopped if signs of fluid overload appear. • The IV route carries a significant risk of fluid overload and cardiac failure. It is used only in cases of hypovolaemic shock (weak or absent radial pulse, cold extremities, altered level of consciousness, associated with recent weight loss, if known): R i n g e r l a c t a t e : 15 to 20 ml/kg over 30 minutes to 1 hour, under strict medical supervision.

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