CH 27 Flashcards
What are objective assessment findings of heroin withdrawal
Manifestations of neonatal abstinence syndrome- low birth weight, SGA, decreased Moro reflexes, and hypo or hyperthermia.
What are objective assessment findings of a newborn with methadone withdrawal
Manifestations of neonatal abstinence syndrome- increased tolerance of seizures, sleep pattern disturbances, higher birth weights, and higher risk of SIDS
What are objective assessment findings of a newborn with marijuana withdrawal
Preterm birth and mecomium staining
What are objective assessment findings of a newborn with amphetamine withdrawal
Preterm or SGA, drowsiness, jitteriness, sleep pattern disturbances, respiratory distress, frequent infections, poor weight gain,emotional disturbances, delayed growth and development.
What are objective assessment findings of a newborn with fetal alcohol syndrome
Facial anomalies include eyes with epicanthal folds, strabismus, ptosis, mouth with a poor suck, small teeth, and cleft lip or palate.
Deafness
Abnormal palmar creases and irregular hair
Heart defects such as tetralogy of fallout, and patent ductus arteriosis
Prenatal and post natal growth retardation
What are objective assessment findings of a newborn with opiate withdrawal
It can last for 2-3 weeks
Manifestations of neonatal abstinence syndrome- rapid changes in mood,hypersensitivity to noise and external stimuli, dehydration, and poor weight gain
What are lab tests to differentiate between neonatal drug withdrawal and central nervous system irritability
CBC
BLOOD GLUCOSE
CALCIUM, MAGNESIUM
THYROID STIMULATING HORMONE, THYROXINE, TRIIODOTHYRONINE
DRUG SCREEN OF,URINE OR MECOMIUM TO REVEAL THE AGENT USED BY THE MOTHER
HAIR ANALYSIS
What are diagnostic procedures for a neonate with FAS
Chest x Ray to rule out congenital heart defects
What are meds prescribed for the neonate with FAS
Phenobarbital ( Solfoton) {anticonvulsant}
It is prescribed to decrease CNS irritability and control seizures for newborns who have alcohol or opioid addiction.
What is hypoglycemia in a newborn
Serum glucose levels less than 40.
What newborns should be assesses for hypoglycemia
Those who are LGA or SGA
How does hypoglycemia differ from full term babies and preterm babies
Hypoglycemia occurring in the first 3 days of life is defined as a blood glucose less than 40.
Hypoglycemia in the preterm infant is described as a blood glucose level less than 25
What can untreated hypoglycemia result in
Seizures
Brain Damage and or death!!!!!!!!!
What are risk factors for hypoglycemia in the infant
Maternal DM Preterm birth LGA or SGA stress at birth such as cold stress and asphyxia Maternal epidural anesthesia
What are objective assessment findings of a newborn with hypoglycemia
Poor feeding, jitteriness/ tremors Hypothermia, diaphoresis Weak shrill cry Lethargy Flaccid muscle tone Seizures/ coma Irregular respirations Cyanosis, apnea
