Neonatal Abstinence Syndrome - Neonate    (NH-12011-1)  (For Education for 8.6.13 Go Live)
General
     þ Weight:  ___________ kg 
     Nursing Assessments
         ¨ Cardiopulmonary monitor
         ¨ Pulse oximetry Spot check
         ¨ Pulse oximetry Continuous
         þ Neonatal Abstinence Syndrome Scoring Assessment

     Consults
         þ Consult Social Work, REASON:  Neonatal Abstinence Syndrome

Disease Specific Medications
     Morphine
         ¨ Maternal non-methadone opiate use morphine (0.05 mg/kg/dose) ________ mg orally every 3 hours with feedings (give even if patient asleep)
         ¨ Maternal methadone use:   morphine (0.1 mg/kg/dose) ________ mg orally every 3 hours with feedings (give even if patient asleep)
         ¨ Maternal methadone use:   morphine (0.2 mg/kg/dose) ________ mg orally every 3 hours with feedings (give even if patient asleep)

     Methadone
         ¨ methadone (0.05 - 0.2 mg/kg/dose) ________ mg orally every ______ hours

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