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CLINICAL GUIDELINES  |

Neuro

NAS Pharmacologic Treatment Initiation

Purpose:

A guideline for the initiation and escalation of pharmacologic treatment for NAS when conservative measures have been insufficient.  The guideline provides initial morphine dosages as well as a stepwise escalation of dosing until symptoms are captured.  

Neonatal clinical guidelines, protocols, pathways, and algorithms for neurovascular care.

It also includes recommendations for initiating adjuvant treatment with phenobarbital or clonidine for severe cases.

It  was developed with evidence-based principles, multi-disciplinary collaboration, and individualized and family-centered approaches to caring for the neonate.

Population:

Infants with opiate exposure and symptoms of NAS

Purpose:

A guideline for the initiation and escalation of pharmacologic treatment for NAS when conservative measures have been insufficient.  The guideline provides initial morphine dosages as well as a stepwise escalation of dosing until symptoms are captured.  

It also includes recommendations for initiating adjuvant treatment with phenobarbital or clonidine for severe cases.

It  was developed with evidence-based principles, multi-disciplinary collaboration, and individualized and family-centered approaches to caring for the neonate.

Population:

Infants with opiate exposure and symptoms of NAS

Neonatal clinical guidelines, protocols, pathways, and algorithms for neurovascular care.

Hospital

St. Luke’s Children’s Hospital, 190 E Bannock St. Boise, ID 83712

Author

LaResa Janousek, NNP, janousel@slhs.org

Neonatal clinical guidelines, protocols, pathways, and algorithms for neurovascular care.

NAS Pharmacologic Treatment Initiation

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But first, please let us know you have read our disclaimer.

Disclaimer:  All content above is solely the work product of the authors.  Neonatology Solutions, LLC, makes no endorsement or statement of safety, efficacy, or appropriateness of any of the protocols, pathways, guidelines, or algorithms contained within.  They should be thoroughly reviewed against any available evidence prior to adoption.  This content is for informational purposes only and should not be construed or relied upon as a standard of care.  Any questions or concerns should be directed to the authors and/or the listed contact person.  Good clinical judgement should always prevail when applying any standardized approach.  We recommend that institutions review these protocols, pathways, guidelines, and algorithms and accept, modify, or reject them based on their own institutional resources and patient populations.  Neonatology Solutions, LLC, assumes no liability for any outcomes arising from use of these tools. 

We would love for you to
download this clinical guideline.

But first, please let us know you have read the disclaimer.

Disclaimer:  All content above is solely the work product of the authors.  Neonatology Solutions, LLC, makes no endorsement or statement of safety, efficacy, or appropriateness of any of the protocols, pathways, guidelines, or algorithms contained within.  They should be thoroughly reviewed against any available evidence prior to adoption.  This content is for informational purposes only and should not be construed or relied upon as a standard of care.  Any questions or concerns should be directed to the authors and/or the listed contact person.  Good clinical judgement should always prevail when applying any standardized approach.  We recommend that institutions review these protocols, pathways, guidelines, and algorithms and accept, modify, or reject them based on their own institutional resources and patient populations.  Neonatology Solutions, LLC, assumes no liability for any outcomes arising from use of these tools.