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10(TEN) STEPS IN CARING FOR THE CHILD WITH MALNUTRITION.

1)Treat/ prevent hypoglycaemia.
📌Treat hypoglycaemia promptly.
📌To prevent hypoglycaemia, feed malnourished children 2-3 hours day and night. Start straightaway.

2)Treat/prevent hypothermia.
📌To treat hypothermia actively re-warm the child.
📌To prevent hypothermia, keep malnourished children warm day and night.

3)Treat/prevent dehydration.
📌Too much fluid can kill. Rehydrate more slowly than usual.
📌Do not give IV fluids except in shock.

4)Correct electrolyte imbalance.
📌Give extra potassium and magnesium daily. Limit sodium (salt).

5)Treat/prevent infection
📌Give antibiotics routinely to all severely malnourished children to treat hidden infections and prevent death.
📌Wash hands to prevent cross-infection.

6)Correct micronutrient deficiencies.
📌Give extra vitamin A, zinc, copper, folic acid and multivitamins.
📌Do not give iron until the child is in the rehabilitation phase.

7)Start cautious feeding.
📌Give small amounts of F-75 every 3 hours day and night. F-75 is a special formula designed to meet the needs of malnourished children.

8)Achieve catch-up growth.
📌For rapid weight gain, give as much F-100 or ready-to-use therapeutic food (RUTF) as the child can eat, 8 times a day. F100 and RUTF are high in energy and protein.

9)Provide sensory stimulation and emotional support.
📌Provide loving care, play and stimulation to improve mental development.

10) Prepare for follow-up after recovery.
📌Teach mothers what to feed at home to help the child recover.
📌Malnourished children need regular follow-up to prevent relapse and death.

Zambia Nursing and Midwifery Corner