Annika is a female neonate born at 37 weeks of gestion to a G2-P1 mother who for

Question

Annika is a female neonate born at 37 weeks of gestion to a G2-P1 mother who for the past 3 months has been taking morphine for chronic pancreatitis. following a spontaneous vaginal birth, Annika receives Apgar scores of 5 at 1minutes and 8 at 5minutes.Annika is active and alert. in caring for this neonate and her mother you will need to detremine a plan for monitoring Annika for signs of drug withdrawal. 1 Evidence - Is there sufficient evidence to draw conclusions about an appropriate plan for monitoring and treating Annika. 2. Assumptions - Describe underlying assumptions about each of the following issues.

( a) symptoms of narcotic withdrawal. ( b) Tools for assessing an infant with Nacotic withdrawal. (c) Recommendations for managing an infant with narcotic withdrawal.

3. what implications and priorities for nursing care can be drawn at this time.

4. Does the evidence objectively support your conclusion.

5. Are there alternative perspectives to your conclusion.

6. What are the 3 nursing diagnosis and interventions for this case.

Explanation / Answer

1) There are sufficient evidences to draw conclusions about an appropriate plan for monitoring and treating opiod withdrawl in neonates.

2) a) The newborn with morphine withdrawal presents with central nervous system excitability, vasomotor signs and gastrointestinal signs.

b) The scoring system used to assess an infant with narcotic withdrawl are developed by Finnegan (1975, 1992) and later modified by Jansson in the year 2009. These tools called as Neonatal Abstinence Scoring (NAS) asses the signs of narcotic withdrawal. When scores are elevated, pharmacological treatment is given for the infant.

3) Supportive care is essential in the management of infants showing signs of morphine withdrawal. The suppportive care includes decreased stimulation, swaddling, frequent feedings on demand and intravenous fluids to maintain hydration.

4) The available evidence objectively support my conclusion.

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