placed in a clean feeding bottle and stored in tbe refrigerator; this can then be given to the baby during the feeding time. Warm the milk before giving to the baby. c. Apply cold compres s, ice cap or "i,aha ng saging" over the engorged breast. 7. o Advise the patient to visit the health center six to ejght weeks after the delivery so the doctor can give her a final check-up. PLAN 8: 1. 0 Refer the patient to a doctor within 24 to 48 hours. 2. 0 Determine knowledge of the patient or that of her companion on tl1e supportive management of the. problems presented. 3. 0 Based on 2. 0, do the follovving if there is a fever: 278 3. 1. Give/prescribe over-the-counter med. kine or herba1 medicine for fever, specifying accurately the dose, frequency of intake and the method of preparation (specifically for herbal m. edicine). 3. 1. 1. Give/prescrib e a paracetamol prepru·ation wtless the patient is allergic to sucl1 substances. 3. 1. 2. If the patient is allergic to the above mentioned substances, give/ prescribe a purely aspirin preparation. 3. 1. 3. Advise patient to take the medicine after meals. 3. 2. Advise the patient to follow instructions on general management of patients ,Yith fever. 4. 0 Based on 2. 0, do ~e following if the breasts are swo1len, painful bard, and accompanied by a crack in the nipple: 4. 1. Give/prescri be over-the-counter medicine or herba J medicine for pain, specifying accurate ly the dose, method of-preparation (specific ally for he. rbal medicine ) the dose and frequency. 4. 1. 1. Give/prescribe paracetamol preparatio n unless the patient is allergic to such substances. 4. 1. 2. If the patient is allergic to the above-mentioned substances, give/ prescribe a glafenin e preparatio n. 4. 1. 3. Advise the patient to take the medicine only if the pain is severe. 4. 1. 4. Advise patient to take the medicine after meals. 4. 2. Advise the patient to do the following: 4. 2. 1. Stop breastf eedj ng. 4. 2. 2. St1pport t}1e breast with brassiere. 4. 2. 3. Apply cold compress, ice cap or "saha ng saging'' over the breast. 5. 0 Based on 2. 0, do the follmving if the nipple(s) is (are) cracked and/or bleeding: 5. 1. Do not allow the baby to nurse on the affected side. 5. 2. Pump out or manually express out the milk from the affected side. Do not give the milk to the baby. 5. 3. Wash the nipple with mildsoapand warm water before and after pumping or expressing out the milk. Apply breast milk around the nipples as lubricant. 5. 4. Use a nipple shield if possible. 6. o Based on 2. 0, do the following if there is a foul-smelling vaginal discharge and/or 