Pain assessment&Intervention of Newborn Flashcards
which pain assessment is liked the best for newborns
NPASS
what age is FLACC pain assessment best used
older infants 2 months old
what does FLACC stand for
face legs activity cry consolability
what does NPASS stand for
neonatal pain
agitation and sedation scale
if the newborns pain scale is a 0 on the NPASS what does this mean
the infants response to stimuli is normal
if newborns pain scale is -2 or -1 on the NPASS what does this mean
they are in the sedation stage
if newborns pain scale is 1 or 2 on the NPASS what does this mean
they are in pain or agitated
what are some signs the infant is in pain
breathing will be shallow possibly start sweating muscle tone will increase (more rigid) chin will quiver loud crying grimacing face
what develops after long term pain that is not relieved
learning disabilities and behavioral disabilities
what are a few nonpharmacologic managements that we can do for pain
containment (hand on baby)
nonnutritive sucking
kangaroo care (skin to skin)
positioning (side lying)
what are complimentary and alternative therapies in the NICU for pain
music therapy and infant massage/gentle human touch
what are the 4 pharmacologic managements for pain
opiods
anesthetic cream
refrigerant spray
sucrose solution
if the baby is sedated should pain medication still be given??
YES, just because they are sedated does not mean they can’t feel pain, they just can’t show it so pain meds should still be given
for a baby who’s mother was a substance abuser what should be done on the baby behalf
the mom should not stop cold turkey because it could cause death to fetus, needs to be slow withdrawal with methadone
what are neurologic signs of withdrawal in neonates
seizures
high pitched cry
tremors
hyperactivity
what are GI signs of withdrawal in neonates
poor feeding
D/V
dehydration
what are autonomic signs of withdrawal in neonates
sweating
fever
mottled skin
nasal stuffiness
when scoring a neonates withdrawal- the higher the score the…..
more they are withdrawing (needing more medication)
when scoring a neonates withdrawal what numbers do we want to see
lower- so we know its working
what are 3 facial characteristics of babies that were alcohol dependent
small eye opening
smooth philtrum
thin upper lip
for a patient with fetal alcohol disorder what are long term complications
failure to thrive appearance
delay in oral feeding development
