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VOMITINGRecognise the patient needing urgent attention:Vomiting with 1 or more of the following:• Reliable signs of dehydration:--Postural hypotension (systolic BP drop > 20mmHg between lying and standing)--Poor urine output--Confused or drowsy• Peritonitis (guarding, distension or rigidity of abdomen)• Vomiting blood• Jaundice• Abdominal pain and no stools or flatus/wind• Headache 9• Patient on ART with other signs of lactic acidosis: nausea, abdominal pain or swelling, weight loss, fatigue, shortness of breathManagement:• Oral or IV rehydration• Check blood glucose 70.• If on ART with signs of lactic acidosis, stop ART 63.• Refer same day to hospital.Approach to the patient with vomiting not needing urgent attention:Exclude pregnancy. If pregnant 93.What is duration of vomiting?< 24 hoursVomiting continuously for ≥ 24 hoursIs patient on TB medication or ART?• Most vomiting is due to a viral infection and resolveswithin 24 hours.• If ≥ 21 drinks/week (man), 14 drinks/week (woman)and/or > 5 drinks/session 83.• If patient is dizzy 8.• Give oral rehydration.• Advise the patient to eat small frequent meals, avoidlying down after meals, avoid hot greasy food and toeat lightly salted dry food before getting out of bed.• Review in 24 hours if still vomiting.No• Give oral rehydration solution.• Review in 2 days if still vomiting.If still vomiting, refer same day.Yes• Assess for dehydration as above.• Stop all medication and refer same day.20TB HIV CHRONIC RESPIRATORYDISEASECHRONIC DISEASESOF LIFESTYLEMENTAL HEALTH EPILEPSY MUSCULOSKELETALDISORDERSWOMEN'S HEALTH