Preview

Neonatal Abstinence Syndrome

Better Essays
Open Document
Open Document
1038 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Neonatal Abstinence Syndrome
Neonatal Abstinence Syndrome
The purpose of this research critique is to inform the reader of a randomized clinical study regarding the treatment of Neonatal Abstinence Syndrome (NAS). This writer is interested in the treatment of drug exposed infants and the goals of reducing babies’ hospitalization in the Neonatal Intensive Care Unit (NICU). The study researches the adjunct therapy for treatment of NAS. The study will be broken down into the following units: protection of human participants, type of data collection utilized in the study, data management and analysis, findings and interpretation of these findings and finally the conclusion of the study and its findings.
Protection of Human Participants
This study’s goal is to differentiate the efficacy of clonidine versus phenobarbital in adjunct therapy with morphine sulfate in the treatment of NAS. One of the benefits of this study is the importance of standardization of a weaning protocol. The weaning protocol did not change from day to day and provider to provider as can be the case outside of the study. Another benefit is the predefined measures for each study group that were considered adverse events. These measures worked as a safety net to ensure the study was done safely and not causing harm to the babies. One noted concern/risk noted by the author was the potential for prolonged exposure to phenobarbital on a baby’s developing brain. The concern is the phenobarbital may cause behavioral compromises in the babies in the future. Informed consent was obtained from parents or the legal guardians of the babies after the babies had been identified as at risk for NAS (Surran, et al 2013). The parents or legal guardians entered the babies into the study voluntarily. The Institutional Review Board of Baystate Children’s Hospital approved this study prior to the enrollment of the newborns.
Data Collection
The major independent variables are noted to be the two adjunct therapies for NAS being studied. Clonidine

You May Also Find These Documents Helpful

  • Better Essays

    Unit Project 4

    • 1226 Words
    • 5 Pages

    Porter, Robert S, and Justin L. Kaplan. The Merck Manual of Diagnosis and Therapy. 19th Edition. Whitehouse Station, N.J: Merck Sharp & Dohme Corp, 2011. Print.…

    • 1226 Words
    • 5 Pages
    Better Essays
  • Powerful Essays

    STUDY GUIDE FROM HELL

    • 2801 Words
    • 9 Pages

    Pharmacodynamics (and nursing implications) for the following medications (generic/brand names): morphine, fentanyl, Versed, Lorazapam, Propofol, Procainamide, lidocaine, magnesium, atropine, Adenosine, digoxin, epinephrine, dopamine, amiodarone, Romazicon, Narcan, Haldol, Apresoline, Pronestyl, Nitroglycerin, sodium nitroprusside, ACE inhibitors, anti-cholinergics, calcium channel blockers, beta-blockers.…

    • 2801 Words
    • 9 Pages
    Powerful Essays
  • Powerful Essays

    Clinical Research of Medications Reference: Mosby’s 2013 Nursing Drug reference Drug Name Generic and Trade Classification and Indication for Use Route, Dose Frequency Both ordered and recommended Drug Action Side Effects Nursing Implications Assessment to be done Morphine Page 822-824 Opioid analgesic Recommended Subcut/IM- 5-10mg q4hr PO- 10-30mg q4hr prn Depresses pain impulse transmission at the spinal cord level by interacting with opioid receptors Drowsiness Dizziness Confusion Head aches Seizures Bradycardia Nausea Vomiting Respiratory depression Respiratory arrest Apnea Pain- location, type, character, give dose before pain becomes severe…

    • 7486 Words
    • 75 Pages
    Powerful Essays
  • Good Essays

    Based on the 6 articles that group 7 reviewed and summarized, we came to a conclusion that a change in nursing practice has to be implemented in order to deliver the best care for patients who suffer from prescription opioid addiction. It is very important in nursing practice to close the gap between research evidence and the action. Therefore we recommend several changes in nursing practice. They are as follow:…

    • 405 Words
    • 2 Pages
    Good Essays
  • Better Essays

    Special Populations Paper

    • 1509 Words
    • 7 Pages

    Fink ACSW, B., Biery , L., & Summerfield PhD, W. (2007). Maternal and Infant Health Program. Retrieved May 2, 2007, from http://www.michigan.gov/documents/MATERNAL-INFANT_HEALTH_PROGRAM_Final_125181_7.pdf…

    • 1509 Words
    • 7 Pages
    Better Essays
  • Powerful Essays

    Levy MD. ;A new register for clinical trials information. Can Med Assoc J. 2000; 162-970-971.…

    • 3895 Words
    • 16 Pages
    Powerful Essays
  • Good Essays

    Neonatal abstinence syndrome is a combination of neurologic, gastrointestinal, and autonomic dysregulation symptoms. This combination makes it difficult to deal with in an absence of medication. Methadone, a synthetic analgesic opioid. Similar to morphine effect, but less in sedation severity, considered as the gold standard treatment in pregnancy opioid abstinence, since around 45 years. As metabolism accelerate in pregnancy, Methadone’s effect end faster than in non-pregnant women. This make both mother and fetus exposed to withdrawal symptoms, and thus contribute to higher NAS complications. Many methods when giving methadone is used. The most common one is a single dose daily. The second is restricted doses to prevent fetal exposure. Another…

    • 399 Words
    • 2 Pages
    Good Essays
  • Better Essays

    During pregnancy that are existing factors that can affect the development of the foetus and that can bring health and other problems when the child is born, which the child can carry for the rest of her/his life, these biological influences before birth can determinate our development throughout our life. Examples of this can be a mother that smoke’s while she is pregnant are more likely to have a child who weight less than normal and also the child might have learning difficulties. If a mother consume a large amount of alcohol it can affect the child as well, the consequences of heavy consumption of alcohol during pregnancy in the child are, they tend to be smaller and have head smaller than normal, also heart defects and learning difficulties, the consumption of drugs during pregnancy can also damage child in the womb.…

    • 1423 Words
    • 6 Pages
    Better Essays
  • Powerful Essays

    Sids

    • 2875 Words
    • 12 Pages

    Marlow, Dorothy R. (1973) Chapter Thirteen: Conditions of Infants Requiring Immediate or Short-Term Care. Textbook of Pediatric Nursing (Fourth Edition), Philadelphia: W. B. Saunders Company, pp. 359.…

    • 2875 Words
    • 12 Pages
    Powerful Essays
  • Good Essays

    Hospitals are in the business of treating people’s ailments and promoting health. Reporting of illegal drug use should be left to law enforcement. An exception to the rule is if the illegal activity is personally witnessed by hospital staff. In cases of pregnancy, the hospital’s duty and obligation is to both the mother and unborn child. In a best case scenario, both mother and child are in excellent health and the mother is abstaining from any harmful substances, regardless of its legality. In cases that are less than best, the mother is placing her child at great risk. The ultimate risk is obviously death of the unborn child prior to term. Infants that have an exposure to drugs suffer from many ailments, some of which are permanent. Such ailments include seizures, tremors, excessive sweating, low birth weight, retardation, bone and skeletal defects, infections, missing or deformed limbs and social disorders to list a few.…

    • 836 Words
    • 4 Pages
    Good Essays
  • Good Essays

    The word “vulnerability” stems from the Latin vulnerare, which means, “to wound”. (Oxford Encyclopedic English Dictionary, 1995) In a clinical setting, the term vulnerable can be applied to many different kinds of patients. The purpose of this paper is to address a vulnerable population within a community. The vulnerable population this author chose to focus on will be that of premature infants because premature infants are at risk for a number of reasons that include: being unprotected, having immature age, being undefended, and having increased sensitivity.…

    • 699 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    Starting Smart

    • 4438 Words
    • 18 Pages

    Olds, D. L., Henderson, C. R. Jr., Phelps, C., Kitzman, H., & Hanks, C. (1993). Effect of prenatal and infancy nurse…

    • 4438 Words
    • 18 Pages
    Powerful Essays
  • Good Essays

    According to the Center for Disease Control and Prevention, the average teenager engages in sexual intercourse by the age of seventeen, but do not marry until the mid-twenties (citation). This means that young adults are at an increased risk for unintended pregnancy and sexually transmitted infections for nearly ten years or longer. The numbers of students engaging in sexual activity of ages thirteen to twenty-four continues to grow each year, as does the number of unplanned pregnancies and HIV infections due to not being fully educated about the risks. Today, the duty of educating students and teenagers about sexual intercourse and the risks involved is left to the government and public school system. Abstinence education programs in public…

    • 637 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    Premature Babies

    • 442 Words
    • 2 Pages

    There have been many medical advances in both prevention and intervention that will hopefully lead to lower premature birth rates. Premature births affect 500,000babies-which is 1 of every 9 infants born in the United States. Worldwide, more than 15 million babies are born to soon each year. Prematurity exponentially increases a variety of complications such as breathing problems. Teen pregnancy falls in this category too; one of the reasons being is that infants born to teen mothers are at risk of being born premature and at a low birth rate. With that it also puts newborns at greater risk for infant death, respiratory distress syndrome, bleeding in the brain, vision loss, and serious intestinal problems. Teen mothers are also more likely to smoke during pregnancy than mothers over the age of 25, and smoking can also cause babies to be born at a low birth rate, and being born premature. The nation’s preterm birth rate in 2012 was 11.5%, which is a 15 year low, according to the March of Dimes report. Premature birth not only takes a high toll on families, but it also cost society more than $26 billion dollars a year.…

    • 442 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    The Abstinence Club

    • 873 Words
    • 4 Pages

    All pressure is not bad. In high school, I was apart of a organization called the Abstinence Club. Before joining I found out that the Abstinence Club was an organization that provides positive peer pressure among adults and teens within the society. It’s also a group of persons who all come together and agree that they are going to wait until marriage or either become celibate and stop having sex until getting married.…

    • 873 Words
    • 4 Pages
    Good Essays