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Cardiorespiratory Monitoring of NAS Infants Treated with Morphine

By Carolyn Terry posted 05-01-2014 08:36 AM

  

I am a NNP developing a Level II nursery with a significant NAS population. Current practice in this nursery only requires 8-hours of CR monitoring once pharmacologic therapy is started with morphine 0.04 mg/kg every 3 hours. My experience at a large level III NICU was to continue monitoring until morphine is discontinued. To optimize safety and outcomes, I need data regarding onset of adverse events associated with morphine administration in NAS babies at different stages of recovery to support this practice.  Any input is appreciated, as I was unsuccessful finding specific information supporting continued monitoring in the literature, although this is a standard practice in large centers and empirically makes sense.

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06-28-2015 05:26 PM

I also work in a Level II SCN. We keep all of our NAS infants on CRM from admission to discharge.