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More women have died each year from drug overdoses than from motor vehicle accidents. Opiate Pain Relievers (OPR’s) Deaths from OPR’s: – increased 5 fold between 19 for women. Addiction, overdoses and deaths involving non-medical prescription drug use have risen significantly over the last decade.Įpidemic of Prescription Opiate Use/Abuse In 2006 the estimated total cost in the United States of nonmedical use of prescription opioids was $53.4 billion – $42 billion was attributable to lost productivity, – $8.2 billion to criminal justice costs – $2.2 billion to drug abuse treatment – $944 million to medical complications. Nonopioid CNS Depressants May present with some or mimic symptoms of NAS Benzodiazepines SSRI’s Barbiturates Anticonvulsants Antipsychotics AlcoholĮpidemic of Prescription Opiate Use/Abuse Prescription drug abuse is a growing national epidemic. What is NAS? Causes alterations in functioning: – CNS disturbances – Metabolic, vasomotor, Respiratory Disturbances – Gastro-Intestinal Disturbancesĭrugs Associated with NAS Opioids: Heroin Methadone Fentanyl Morphine Demerol Ox圜ontin What is NAS? Two types: – Maternal use during pregnancy – Postnatal use (fetanyl, morphine) What is NAS? Also known as Neonatal Withdrawal Syndrome Constellation of behavioral and physiologic signs caused by cessation of exposure to licit and illicit drugs. 4) Identify non-pharmacologic, pharmacologic and caregiving strategies for managing neonates with NAS. 3) Describe the appropriate way to assess neonates for signs of NAS. Objectives 1) Describe the incidence of NAS in the US and hospital costs 2) Identify drugs associated with NAS. Karen D’Apolito, Ph.D., APRN, NNP-BC, FAAN Professor & Program Director, NNP Specialty Vanderbilt University School of Nursing I am the developer of the inter-observer reliability program for the Finnegan Scoring Tool. I have no affiliation with any of the drug companies that produce the medications I will be discussing. To throw together in a disorderly manner.Faculty Disclosure Providing Optimal Care for Neonates with Neonatal Abstinence Syndrome by.(military) To beat with the ruff or ruffle, as a drum.To make into a ruff to draw or contract into puckers, plaits, or folds to wrinkle.Gallants who ruffled in silk and embroidery To be rough to jar to be in contention hence, to put on airs to swagger.On his right shoulder his thick mane reclined, / Ruffles at speed, and dances in the wind. To become disordered to play loosely to flutter.The night comes on, and the bleak winds / Do sorely ruffle. To grow rough, boisterous, or turbulent.īut, ever after, the small violence done / Rankled in him and ruffled all his heart. These ruffle the tranquillity of the mind. The fantastic revelries that so often ruffled the placid bosom of the Nile Her sudden volley of insults ruffled his composure. To disturb especially, to cause to flutter.To make a ruffle in to curl or flute, as an edge of fabric.