A baby with neonatal

abstinence syndrome may

have a wide range of

symtoms including CNS,

metabolic, vasomotor,

respiratory, and GI. These

include:

(list 3 or more for each)

CNS:

-increased wakefulness

-high-pitched cry, incessant crying

-irritability

-tremors

-hyperactive w/increased Moro reflex

-increased DTRs

-increased muscle tone

-abrasions and/or excoriations on the face &

knees

-convulsions

Metabolic, Vasomotor, Respiratory:

-nasal congestion w/flaring

-frequent yawning

-skin mottling

-tachypnea >60/min

-sweating

-temp >than 37.2 C (99 F)

GI:

-poor feeding

-regurgitation (projectile vomiting)

-diarrhea

-excessive uncoordinated constant sucking

Hypoglycemia in the

newborn findings:

-poor feeding

-jitteriness/tremors

-hypothermia

-diaphoresis

-weak shrill cry

-lethargy

-flaccid muscle tone

-seizures/coma

-irregular respirations

-cyanosis

-apnea