<prompt> A 6 month baby presented with RR of 54min with retractions. How should the doctor at PHC manage the case?Classify as very severe pneumonia and refer immediatelyClassify as severe pneumonia, sta injectable antibiotic and then referClassify as pneumonia and sta oxygen therapyClassify as pneumonia, sta oral antibiotics  <response>: Presence of tachypnea and retractions classifies as pneumonia in this child. Hence this child should be given oral antibiotics. SIGNS CLASSIFY AS TREATMENT Any general danger sign or stridor in a calm child Severe pneumonia or VERY severe disease Give 1st dose of Inj. Ampicillin Gentamycin and refer urgently to hospital Chest indrawing AND or fast breathing Fast Breathing 2 months -60min 2-12 months -50min 1-5 years -40min PNEUMONIA 1. Give oral Amoxycillin x 5 days 2. If wheezing present, inhaled bronchodilator x 5D 3. Soothe the throat relieve cough with a safer remedy 4. If Cough 15 days or recurrent wheeze - refer for the evaluation of TB or bronchial asthma 5. Advise the mother when to return immediately 6. Follow up in 2 days If the O2 saturation 90 - refer urgently No sign of pneumonia or very severe disease NO PNEUMONIA Cough or cold Steps 2 to 5 Follow up in 5 days General danger signs - Persistent vomiting - Unconsciousness - Convulsions - Inability to drink or breast feed - Lethargy CAUTION : CHEST INDRAWING IS NOW CLASSIFIED AS PNEUMONIA NOT AS SEVERE PNEUMONIA 