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Neonatology > neonatal abstinence syndrome > Flashcards

neonatal abstinence syndrome Flashcards

1
Q

causative substances

A 
opiates
methadone 
benzodiazepines
cocaine 
amphetamines
nicotine, canabis
alcohol 
SSRIs
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2
Q

when does withdrawal occur

A

opiates, diazepam, SSRI + alcohol = 3-7hrs

benzodiazepines + methadone = 24hrs -21 days

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3
Q

features: CNS

A 
irritable 
increased tone 
high pitched cry 
not settling 
tremor
seizures
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4
Q

features: vasomotor and respiratory

A

yawning
sweating
unstable temp
tachpypnoea

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5
Q

features: metabolic and GI

A

poor feeding
vomit
hypoglycaemia
loose stools

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6
Q

Mx

A

NAS chart
medication
safeguarding + social service
follow up

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7
Q

medical Mx optins

A

oral morphine sulphate for opiate withdrawal

oral phenobarbitone for non-opiate withdrawal

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Neonatology (7 decks)

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