Neonatal Abstinence Syndrome: A Case Study

Improved Essays
Neonatal Abstinence Syndrome (NAS) is a constellation of physiological signs and behaviors observed following in utero exposure to opiates (Backes et al. 2012). In laymen’s terms, NAS is a group of withdrawal symptoms newborns experience after birth due to drug exposure while inside mother’s uterus. I chose this topic because NAS has increased 300% among newborns since the 1980s (Backes et al. 2012). Mothers need to be aware of possible complications to their newborn if they are consuming opioids or other drugs. This paper will cover drugs that can cause NAS, infant complications, prevention and treatment of NAS. By the end of this paper, the patient should be able to explain learning objectives (see appendix). NAS occurs from the consumption …show more content…
This calls for abrupt interventions to prevent serious complications from occurring. McKinney, James, Murray, Nelson, and Ashwill (2013) describe numerous complications that can occur from NAS, including breathing problems, the infant will appear restless, with excessive activities, and increased muscle tones. Low birth weight and feeding problems including: excessive sucking, frequent regurgitation or vomiting, diarrhea, and weight loss can also appear. Tremors may be present and seizures from the drug withdrawal may develop causing even further damage to the newborn. Congenital anomalies may be apparent at birth: respiratory distress, jaundice, or sudden infant death syndrome (McKinney, James, Murray, Nelson, & Ashwill, 2013). Because of the severity of these signs and symptoms your newborn may need ongoing monitoring requiring a longer hospital stay. If you are discharged from the hospital before any indications of NAS, contact a health care provider if any of these symptoms appear. NAS can last from 1 week to 6 months after birth (“Neonatal abstinence syndrome,” 2015). According to Szalavitz (2012) far less is known about the long-term outcomes of drug exposure in utero, however research suggest increased risk for developing disorders including ADHD and cognitive

Related Documents

  • Improved Essays

    Dr. Katz Ethical Theory

    • 411 Words
    • 2 Pages

    Katie, a 24 year old pregnant female, 33 weeks gestation is admitted to the hospital in sickle cell crisis. Also, she has preeclampsia and is in a tremendous amount of pain. Katie has a medical history of taking opioids and morphine during her pregnancy for pain due to her sickle cell disease. The doctors take Katie right back to the delivery room and prep her for a cesarean section. The baby is born and taken to the Intensive Care Nursery for monitoring due to prematurity and low birth weight.…

    • 411 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Gavin Bart’s journal article Maintenance Medication for Opiate Addiction: The Foundation of Recovery provided the scientific information regarding how methadone works to reduce heroin withdraw symptoms once it is ingested into the human body. Bart’s article provided descriptive information on the typical methadone dosages used. This article was the only article to provide information dosage information and information about the possible serious side effects of lethal respiratory suppression. The goal was clearly identified as being information on how methadone impacts the human body once it is administered. This article was objective and provided clear evidence of facts that support the information.…

    • 1023 Words
    • 4 Pages
    Improved Essays
  • Decent Essays

    Xanax Diary

    • 422 Words
    • 2 Pages

    The patient reports experiencing nausea, chills, water eyes, and vomiting. This wrtier completed the dose change change request and proceed to discuss alternatives for her use and addressing how it would affect her pregnancy. The patient expressed in tears that she wants to stop using and the desire of wanting a healthy baby. Addressing the patient ER visit two or three weeks:…

    • 422 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    By definition an abortion is the termination of pregnancy by the removal or expulsion of a fetus or embryo from a woman’s uterus before sustainability. There are two categories of abortions, spontaneous or intentional and intentional abortions have different classification such as, therapeutic and elective. I strongly believe as a woman's body is her own to do with whatever she so chooses. Therefore, on the topic of abortions, I am Pro-choice.…

    • 1122 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Abstinence Summary

    • 485 Words
    • 2 Pages

    Summary of Abstinence I tried to give up soda for six weeks for my abstinence project. For the first two weeks, I stayed strong and did not have any soda. Every time I would usually have a soda, I replaced it with water. At the beginning of my third week, I relapsed and drank soda.…

    • 485 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Neonatal abstinence syndrome (NAS) is a group of problems that arise in a newborn who was exposed to addictive opiate drugs while in the mother’s womb (Lee). Therefore, symptoms of withdrawal may occur being that the baby does not receive the drug from the placenta anymore. Sadly, the absence of drug in the newborn system give rise to…

    • 712 Words
    • 3 Pages
    Improved Essays
  • Superior Essays

    Babies born to expectant mothers on methadone often experience prominent withdrawal symptoms immediately after birth known as neonatal abstinence syndrome. Symptoms are much like those experienced by an adult, such as irritability, difficulty with sleep, nausea, vomiting, and diarrhea. Infants may require medications to ease symptoms of withdrawal. With buprenorphine, there seems to be a reduced likelihood of a problematic withdrawal, but it can develop.…

    • 2077 Words
    • 9 Pages
    Superior Essays
  • Improved Essays

    Healthy People 2020 Essay

    • 743 Words
    • 3 Pages

    Previous discoveries have proven to be effective in the prevention of infant deaths. For instance, with the development of surfactant, the death of premature infants from respiratory distress syndrome has decreased. Also, the discovery of antenatal corticosteroid treatments to avoid premature labor and aid in fetal lung maturation has reduced the amount of infants dying from premature birth, respiratory distress syndrome, and internal hemorrhage. Supporting research would create new ways to prevent infant death from conditions that do not have a current…

    • 743 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Medication-Assisted Therapy for Opioid Addiction Opioid addiction is a chronic, recurring brain disease that can be adequately and safely managed. I have reviewed two articles that discuss medication-assisted therapy for opioid addiction. The first article discusses three US FDA-approved medications for treating opioid addiction, while the second article discusses the treatment needs of pregnant women with opioid use disorders. In the first article, three presentations are discussed that provide an overview of medications, as well as an extensive view of medication-assisted therapy to support a chronic care model for opioid addiction (Tai, Saxon, & Ling, 2013).…

    • 672 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Babies Born Addicted Did you know that people use drugs on a daily basis, specifically pregnant women? This has been a problem since the 1980s. According to Stephen Davis, a news reporter from Fox6Now, up to 13,000 babies a year are born addicted to drugs (Davis 1). Pregnant women are using drugs and their young ones are coming out addicted and unhealthy. Cocaine, marijuana, and methamphetamine are some of the common drugs used by pregnant women.…

    • 1165 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    P., Connaughton J. F. Jr, Kron R. E., Emich J. P). The neonatal intensive care unit uses this scoring guide to determine the right path of treatment and severity of the syndrome. The first evaluation of the baby should be followed by an abstinence score and this should be taken no later than two hours after birth or admission to the nursery. This is what the neonatal intensive care unit will use as their baseline. After the first evaluation and the first score is recorded, the baby will be evaluated and a new score will be taken at four hour intervals.…

    • 1232 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    The Meth Epidemic Analysis

    • 1094 Words
    • 5 Pages

    In the last 30 years the United States has been under thralls of an epidemic of gigantic proportion known as methamphetamines. In response to this issue Carl Byker wrote and directed an episode for the PBS show Frontline entitled, "The Meth Epidemic.” This report starts out in Oregon from a more localized perspective and then branches out to show how methamphetamine use has spread across the United States. This episode utilizes powerful images created by Deputy Brett King a police officer in booking, who used booking pictures over an extended period of time to show how the use of methamphetamines can physically destroy the body. These people started off with a normal appearance but, not long after the use of meth they were physically transformed…

    • 1094 Words
    • 5 Pages
    Improved Essays
  • Great Essays

    Introduction Opiates are derived from opium and encompass a broad range of drugs such as morphine, heroin, and fentanyl among others. Over time, opioid addiction has primarily affected the various population groups in the US. The substances should be used in the medical profession to relieve pain, boost physical and mental energy and lessen anxiety. However, unmonitored use of the materials for both prescribed and nonmedical use has resulted into tolerance and addiction. Opiate dependence makes the drug users need more of the substance in large quantities and frequently to enable them to sustain their effects, a factor which increases the severity of withdrawal (Khantzian 1263).…

    • 1928 Words
    • 8 Pages
    Great Essays
  • Improved Essays

    Research Paper On Opioids

    • 1312 Words
    • 6 Pages

    Introduction Opioids are substances derived from the opium poppy, or engineered analogs with similar impacts. Some drugs in this class are morphine, heroin, tramadol, oxycodone and methadone. Opioids can possibly bring about substance dependence that is portrayed by a powerful urge to take opioids, disabled control over opioid use, relentless opioid use notwithstanding destructive results, a higher need given to opioid use than to different exercises and commitments, expanded resistance, and a physical withdrawal response when opioids are stopped (Information sheet on opioid overdose, 2014). An opioid overdose can be classified by three signs and symptoms called the “opioid overdose triad”.…

    • 1312 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    Hospital policy requires meconium testing for all newborns who are suspected of being substance exposed in utero. Substance exposure in utero is of serious concern and is associated with significant perinatal complications for mother and child. In the past, maternal interviews were the primary source of substance use during pregnancy. Maternal interviews can provide health care professionals with critical information although they can be misleading. Not all substance using mothers will willingly admit to, or may minimize, use for a variety of reasons.…

    • 854 Words
    • 4 Pages
    Improved Essays