COMMUNITY HEALTH NURSING

• EPI - Expanded Program on Immunization
• NTP - National Tuberculosis Program
• NLP - National Leprosy Program
• CDD - Control of Diarrhea Disease
• CARI - Control of Acute Respiratory Infection
• BCG - Bacillus Calmette Guerin
• OPV - Oral Polio Vaccine
• IPV - Inoculated Polio Polio Vaccine
• AMV - Anti Measles Vaccine
• DTP - Diphtheria Tetanus Pertussis
• TT - Tetanus Toxoid
• HB - Hepatitis B
• VVM - Vaccine Vial Monitor
• ORS - Oral Rehydration Solution
• RIPES - Rifampicin Isoniazid Pyrazinamide Ethambutol Streptomycin
• Newborn = 0-28 days
• Vaccines = BCG (tuberculosis), MMR (measles, mumps, rubella), HPV (human papilloma virus)
• 3 Vaccines for Newborn = BCG / Hepatitis B / Vitamin K
• BCG1 = 0.05 ml - Intradermal - Right Upper Arm (Deltoid Tissue)
• BCG2 = 0.10 ml - Intradermal - 6 years old -School Entrants
• Three (3) Extra Pulmonary Tuberculosis

  • TB of the Brain
  • TB of the Skin
  • TB of the Bones
• Signs and Symptoms of Tuberculosis

  1. 2 weeks cough
  2. Fever in the afternoon
  3. Night Sweats
  4. Difficulty of Breathing
  5. Blood in the Sputum
• PTB Minimal (Category I) - New Patients

  RIPE - IP 2 months

  RI - MP 4 months
• PTB Moderate (Category II)

  Streptomycin - 8 months - 56 vials

  Relapse

  • RIPES (IP) 2 months
  • RI (MP) 6 months
• PTB for Advance
• PTB Cavitary

  • Tuberculin Exam for Child
  • Sputum Exam
• PTB with drug resistant
• PTB with Extreme Drug Resistant
• DOTS - Directly Observed Treatment Strategy
• IMCI - Integrated Management of Childhood Illness
• UFC - Under Five Clinic
• 6 Diseases under UFC

  • Diarrhea
  • Dehydration
  • Pneumonia
  • Dengue
  • Malaria
  • Malnutrition
• Danger Signs

  1. Ask if child able to drink or breastfeed
  2. Does the child vomits everything
  3. Does the child had convulsions during illness
  4. Abnormally sleepy or difficulty awake
• Fast Breathing

  • Less than 2 Months old - 60 bpm/min.
  • 2-12 Months old - 50 bpm/min.
  • 12 Months - 5 years old - 40 bpm/min.
• Pink (Severe)

  Yellow (Pneumonia)

  Green (No Pneumonia)
• Follow up Check-Up

  • 2 days if positive to wheezes
  • 5 days if negative to wheezes
• Cholera - Usual Cause of LBM in rural areas

  • Stool (fluid and watery)
• Acute Diarrhea - If less than 14 days of watery stool
• Persistent Diarrhea - if greater than 14 days

  • can cause nutrition problem
  • contributes to death
• Dysentery - Blood in stool

  • Presence of shigella-bacteria