NEONATAL ABSTINENCE SYNDROME
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4 Terms
what is neonatal abstinence syndrome?
withdrawl is caused by in utero exposure to maternal use of substances (primarily opioids)
what are clinical features of neonatal abstinence syndrome?
presents hours to days after birth
central nervous system
irritable, inconsolability, high pitch cry
hypertonia, tremors
diarphoretic
short sleep cycles
sneezing, yawning
uncoordinated swallowing
respiratory
tachypnea
GI
vomit and diarrhea
feeding difficulties
what are nursing interventions for neonatal abstinence syndrome?
obtain newborn drug screen (urine and meconium)
monitor daily weights
feed in small freq amounts
minimize environmental stimuli
swaddle tightly in flexed position
provide pacifier
admin tapering dose of morphine or methadone
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