Unit 1: Principles of management
Page 18 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. 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. What should you explain to Pedro’s mother?

a)
Explain that it is important to be cautious while Pedro’s body adjusts to the stronger milk.

b)
It is good that Pedro is hungry and it is a sign of improvement. However, too much food too quickly would be dangerous.

c) On Day 6 he will gradually be given more F100.
d)
The mother should be encouraged to breastfeed Pedro between feeds of F100.

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