NEONATAL ABSTINENCE SCORING
NEONATAL ABSTINENCE SCORING
NEONATAL ABSTINENCE SCORING
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<strong>NEONATAL</strong> <strong>ABSTINENCE</strong> <strong>SCORING</strong><br />
Section 1.<br />
System Signs & Symptoms Score<br />
Central Nervous System Disturbances<br />
Excessive High Pitched ( or other) cry 2<br />
Continuous high pitched (or other) cry 3<br />
Sleeps < 1 hr after feeding 3<br />
Sleeps < 2hr after feeding 2<br />
Sleeps
Section 2.<br />
System Signs & Symptoms Score<br />
Metabolic, Vasomotor, Respiratory Disturbances<br />
Sweating 2<br />
Fever > 101 (99-101.8F/37.2-38.2C) 1<br />
Fever > 101 (38.4C or higher) 2<br />
Frequent Yawning (3-4 times/interval 1<br />
Mottling 1<br />
Nasal Stuffiness 1<br />
Sneezing (>3-4 times/interval) 1<br />
Nasal Flaring 2<br />
Respiratory Rate>60/min 1<br />
Section 3.<br />
System Signs & Symptoms Score<br />
Gastrointestinal Disturbances<br />
Initials ______ TOTAL SCORE<br />
Disorganized Suck 3<br />
Excessive Sucking 1<br />
Flatus 1<br />
Poor Feeding 2<br />
Regurgitation 2<br />
Projectile Vomiting 3<br />
Loose Stools 2<br />
Water Ring Stools 2<br />
Watery Stools 3<br />
Adapted From: Caregiver’s Guide to Drug-Exposed Infants, Barbara Drennen; 2008<br />
Pediatric Interim Care Center 328 4 th Avenue South, Kent, WA 90832 picc@picc.net