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Review
. 2018 Dec;30(4):585-596.
doi: 10.1016/j.cnc.2018.07.011.

Neonatal Abstinence Syndrome: An Uncontrollable Epidemic

Nancy J MacMullen  1 , Linda F Samson  2
Affiliations
Review

Neonatal Abstinence Syndrome: An Uncontrollable Epidemic

Nancy J MacMullen et al. Crit Care Nurs Clin North Am. 2018 Dec.

Abstract

There is an uncontrollable epidemic of drug abuse, with the misuse of opioids the most alarming. Along with the increase in opioid abuse, there exists a concomitant upsurge in the number of neonates experiencing neonatal abstinence syndrome (NAS) due to the effects of the mother's withdrawal from the drug. Neonates experiencing NAS exhibit various nervous system, gastrointestinal, and respiratory untoward symptoms. Diagnosis is determined by taking an accurate maternal history and assessment of clinical signs and symptoms. Clinical management strategies include pharmacologic and nonpharmacologic therapies. Nursing care is evidence based, includes nonpharmacologic therapies, and focuses on prevention and support.

Keywords: Drug withdrawal; Evidence based nursing interventions; Intensive care unit; Neonatal abstinence syndrome; Opioid abuse.

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