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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

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