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Correctness of treatment
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a) Antibiotic choice consistent with guidelines – Benzyl penicillin monotherapy for severe pneumonia in HIV negative and Benzyl penicillin and Gentamicin for very severe pneumonia and severe pneumonia in HIV positive children
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a) Fluid choice consistent with guidelines – Hartman’s solution.
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b) Antibiotic dosing consistent with guidelines – 50 000 IU per kg four times a day for Benzyl penicillin and 7.5 mg twice daily for Gentamicin while allowing a 20% margin of error in the correctness of the dose prescribed.
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b) Fluid volume consistent with guidelines – (+/- 20%) 80-120 mls/kg if not given fluid bolus for shock management or 56–120 mls per kg if fluid bolus for shock management is given.
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a) Fluid duration consistent with guidelines - 5–6 hours for patients ages 2–11 months and 2.5-3 hours in patients aged 12–59 months.
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b) Fluid therapy consistent with guidelines – correct choice of fluid, fluid volume and over the correct duration.
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