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Terms and definitions

 Methadone used to treat NAS a synthetic analgesic drug that is similar to
morphine in its effects but longer acting, used as a substitute drug in the
treatment of morphine and heroin addiction.
 Fentanyl is the most commonly used analgesic drug in the neonatal intensive
care unit. It is a potent, rapid-acting, synthetic opioid with a relative lack of
hemodynamic side effects
 Oxycodone is a pain reliever. It is used to treat constant pain that lasts for
more than a few days and can also if taken more often can be highly
 Neonatal Abstinence Syndrome (NAS) is a constellation of behavioral and
physiological signs and symptoms that are remarkably similar despite marked
differences in the properties of the causative agent.
 Opioids are natural and synthetic substances with morphine-like activities
that activate opioid receptors in the central nervous system and
gastrointestinal tract.
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Symptoms and treatments

 Very irritable and crying
 Sometimes have high heart rates
 Sweating
 Flushing
 Diarrhea
 Tremors
 Blotchy skin coloring
 Excessive sucking
 Fever and sweating
 Hyperactive reflexes
 Increased muscle tone
 Poor feeding
 Rapid breathing
 Seizures
 Sleep problems
 Slow weight gain
 Stuffy nose and sneezing
 Vomiting
 The treatment for all of this is simple because they are NAS infants they are
going through withdrawal so all we can do is try to calm them my cuddling

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 Stimulus, Trial, Test

 The newest test going on right now is being practiced at UTMB. A doctor
there has been given a grant to have a woman make these therapeutic
octopus for preemies, but through this case study they have also recorded
this helping to calm NAS infants as well. The tentacles are supposed to
simulate the umbilical cord and the head is just cushion o lay on.

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 Evaluation forms, Rubrics

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 Education, Training


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 Forms, Contracts

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 Diagrams

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 Sketches, Drawing

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 Tools, Utensils, Equipment

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 Laws, Legal issues

 Protecting Our Infants Act of 2015 Summary from : (Sec. 2) This
bill requires the Department of Health and Human Services (HHS) to review
its activities related to prenatal opioid use, including neonatal abstinence
syndrome, and develop a strategy to address gaps in research and gaps and
overlap in programs. (An opioid is a drug with effects similar to opium, such
as heroin or certain pain medications. Neonatal abstinence syndrome is
withdrawal in a newborn.)

 (Sec. 3) HHS must conduct a study and develop recommendations for
preventing and treating prenatal opioid use disorders, including the effects of
those disorders on infants. HHS must publish a report that includes:

 an assessment of existing research on neonatal abstinence syndrome;

 an evaluation of the causes, and barriers to treatment, of opioid use disorders
among women of reproductive age and recommendations on preventing
opioid use disorders in these women;

 an evaluation of, and recommendations on, treatment for pregnant women
with opioid use disorders and the effects of prenatal opioid use on infants;

 an evaluation of the differences in prenatal opioid use between demographic
groups and recommendations on reducing disparities.

 (Sec. 4) HHS may continue providing technical assistance: (1) to states and
Indian tribes to improve neonatal abstinence syndrome surveillance; and (2)
to states to support implementation of effective public health measures, such
as disseminating information to educate the public on prenatal opioid use and
neonatal abstinence syndrome.