Friday, September 14, 2007

Neonatal Opioid Withrdawal

3 day old AAM presents to the Emergency Room (at 2am) with agitation, excessive suckling, inability to sleep, etc. Upon further questioning of the Mother, we discover that during the last few weeks of the pregnancy, the mother was taking Percocet (and not small dose either, the 10/325 kind). Was discharged from the hospital today, fine.

After a little while, baby starts having seizures, etc. Scored an 8 on the Neonatal Abstinence Scale (although the NICU nurses determined he was a lot worse than that). Admitted to NICU (Neonatal ICU) for Neonatal Opioid Withdrawal. Treatment is Supportive care, except in cases of seizures, inability to sleep, and some other things (forgot to write it down off UpToDate).

Now, I'm not going to pass judgement on the mother or the condition of the baby...but, y'know, feel free to comment.