Neonatology
Eat, Sleep, Console calculator
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Clinical inputs
Result
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3
One or more functions unmet
Band: One or more functions unmet
Interpretation. One or more functions unmet
Suggested management. The 2018 protocol alerted the team and increased nonpharmacologic care, or started morphine at 0.05 mg/kg every 3 hours. That article prints no maximum dose and no weight cap. Any opioid dose has to be verified against the local protocol. This number is the count of unmet functions, not a morphine dose.
Eat, Sleep, Console: 3 — One or more functions unmet. Interpretation: One or more functions unmet What to do: The 2018 protocol alerted the team and increased nonpharmacologic care, or started morphine at 0.05 mg/kg every 3 hours. That article prints no maximum dose and no weight cap. Any opioid dose has to be verified against the local protocol. This number is the count of unmet functions, not a morphine dose. Inputs: Feeds at least 1 oz or breastfeeds well: false; Sleeps undisturbed for at least 1 hour: false; Consoled within 10 minutes: false Source: Grossman MR et al. A Novel Approach to Assessing Infants With Neonatal Abstinence Syndrome. Hosp Pediatr. DOI: 10.1542/hpeds.2017-0128. PMID: 29263121. An infant was well managed when able to eat at least 1 oz per feed or breastfeed well, sleep undisturbed for at least 1 hour, and be consoled within 10 minutes if crying. Any unmet function led the team to increase nonpharmacologic care or start morphine at 0.05 mg/kg every 3 hours. Morphine was decreased by 0.04 mg per dose each day when all three functions were met. The article does not print a maximum morphine dose or a weight cap. Any opioid dose has to be verified against the local protocol. The reported number is how many of the three functions are unmet. It is not a morphine dose. (2018)
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Clinical inputs
- Feeds at least 1 oz or breastfeeds well
- Sleeps undisturbed for at least 1 hour
- Consoled within 10 minutes
Primary source
Grossman MR et al. A Novel Approach to Assessing Infants With Neonatal Abstinence Syndrome. Hosp Pediatr. DOI: 10.1542/hpeds.2017-0128. PMID: 29263121. An infant was well managed when able to eat at least 1 oz per feed or breastfeed well, sleep undisturbed for at least 1 hour, and be consoled within 10 minutes if crying. Any unmet function led the team to increase nonpharmacologic care or start morphine at 0.05 mg/kg every 3 hours. Morphine was decreased by 0.04 mg per dose each day when all three functions were met. The article does not print a maximum morphine dose or a weight cap. Any opioid dose has to be verified against the local protocol. The reported number is how many of the three functions are unmet. It is not a morphine dose. (2018)
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