Unit 1: Principles of management
Page 17 of 25
Treatment
Pedro is a SAM child. On admission he weighed 4.8kg. He was offered 55ml F75 2 hourly on days 1 and 2. He ate reluctantly. On day 3 his appetite increased and he took eight 3 hourly feeds of 80ml F75. He took all of the F75 offered at each feed. On day 4 Pedro began the transition to F100. He took eight 3 hourly feeds of 80ml F100. Pedro’s mother says that he wants more at each feed.She asks if she can give Pedro more.

Q. Should Pedro be given larger feeds of F100 on Day 5?

a) No, he must stay at the same amount for the first two days of transition.
b) Yes, he must be given larger feeds.
Stabilisation
Rehabilitation
1. Hypoglycaemia
2. Hypothermia
3. Dehydration
4. Electrolytes
5. Infection
6. Micronutrients
7. Cautious feeding
8. Catch-up growth
9. Sensory stimulation
10. Prepare for follow-up
Click each step for the description