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вMSF is mainly present in rural areas on short or medium term projects. An intervention in an urban environment is more part of a long-term development approach. The services offered in the current health center as well as in the second which will open soon will continue after our departure. These structures are durable,в asks Gregory Montel, logistics manager of the MSF project in Buenaventura. However, in a severe crisis the child presents agitation, drowsiness or confusion, slurred speech, difficulty eating, dyspnea at rest and intense indrawing. On auscultation, intense wheezing is heard, the respiratory rate is greater than 25 - 50 breaths per minute and the heart rate is greater than 120 - 130 fluticasonpropionaat per minute, depending on age, and the oxygen saturation is less than 92.

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They are also more prone to some cardiovascular complications. These patients decrease their oxygen saturation at night, I always tell them that it is as if they were climbing Everest at night, which is why they suffer a series of alterations in the body that in the long term, accumulated, produce cardiovascular, neurological, mood, mood, drowsiness etc.