ASSESSMENT PROTOCOL FOR PROBLEM ON COUGH, COLDS OR DIFFICULTY OF BREATHING NOT ASSOCIATED WITH FEVER: ADULT PATIENT (Logic Tree No. 7) o IRECTION: Determine/identify which of the following symptoms/signs (S/S) or history dat:1 (lh:D) are present and follow the flowchart for the appropriate plan of management. RED YELLOW GREEN S/S or Hx O 5/S or Hx D S/S or Hx D Difficulty of breathing Patient is 65 years old Patient has been when tying down for or older exposed to chemical several minutes but Respiratory Rate is at dusts like silicon or relieved when he is least 30/min asbestos for several propped up Symptom s have been years (like the patient Patient has coughed present for more u_sed to be or is out large amount of than 3 weeks currently working as a blood (at least two Cough productive of miner) teaspoons) yellowish phlegm Change in the quality of Systolic blood (the whole day) the patient's voice pressure of 160 mm Presence of blood in Mild or tolerable pain mercury or above the sputum (even if at the epigastric area and/or diastolic blood-streaked only) described as burning blood pressure of Difficulty of breathing or gnawing pain 100 mm mercury or when doing his usual History of intake of above physical activities medicine for ulcer Altered consciousness like sweepirig the like those containing (very sleepy or floor or taking a omepraz?ie, disoriented) bath laz_oprazole, Labored fast breathing Sharp chest pain esomeprazole, or Nostrils spreading out whenever he coughs those containing with e Gch breathe or breathes de. eply aluminum/ Swelling of the face Difficulty of swallowing magnesium hydroxide and/or both lower Marked weight toss Recent history of extremities P. rolonged period of intake of medicines Bluish tips and nail beds lmmobllity like causing gastric Prominent veins over patient stayed in irritation, such as the upper chest bed for several Aspirin, anti-arthritic Skin behind the days with almost no medicines (ibuprofen, collarbones and movement due to diclofenac. between the ribs illness meloxicam, sucked In when History of Tuberculosis piroxicam, celecoxib, Inhaling or intake of anti-etc. ) or antibiotics Neck veins that TB medicines like belong Ing to the pulsate well above those containing Macrolide group the coli::irbone with INH, rifampicln, (erythromycin or the patient In a ethambutol, azythromyclnl. reclining position pyrazinamlde and/ or streptomycin Injection. 389 