Right Eye Surgery Case Studies

R/s according to Trisita, she has an old prescription for Xanax. R/s a prescription cannot be verified. R/s Trisita didn’t received prenatal care. R/s Trisita will be discharged tomorrow and the baby will be discharged on 07/26/2017.

R/s on 06/22/2017, Ashley tested positive for methadone at admission of the birth of baby girl Ashlynn. R/s Ashlynn’s urine was positive for opiates and methadone. R/s Ashlynn’s meconium was positive for two kinds of opiates (hydrocodone and hydromorphone). R/s Ashley didn’t get prenatal care because she didn’t know she was pregnant.

At the time of delivery, Jennifer tested positive for THC, methamphetamine, amphetamine, and benzodiazepines. Samantha was delivered weighing 5lb 12oz at 38 weeks. A cord blood sample was taken from Samantha to be tested as well. furthermore, the cord blood stats came back for Samantha with amphetamine, methamphetamine, THC, Diazepam, and Nor Diazepam in her system. Samantha was placed in the NICU at St Francis and is going through withdrawals due to the mother's drug usage during pregnancy. Morphine

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Methadone is typically given to treat opioid dependence. This drug, which is a mu-opioid agonist, works by limiting withdrawal symptoms and the desire to use opiates. However, methadone has been shown to have a high incidence of causing neonatal abstinence syndrome (NAS) in the child. This leads severe problems in the infant such as, hyperirritability of the central nervous system, autonomic system malfunction, respiratory disorders, and others. NAS results in longer hospitalization and more

Problematic substance use in pregnancy is prevalent among the Canadian population. The statistics are well documented in the literature. According to a Health Quality Ontario report from 2012, about one in 100 pregnant women giving birth in Ontario hospitals shows substance use. The rate of substance abuse among pregnant women has increased since 2009 by about ten percent. Dow et al. (2012) identify that the management of substance use is particularly problematic in Northern Ontario. Many First Nations communities are in a state of emergency regarding abuse of prescription narcotics (Dow et al., 2012, p. 489).

(n.d.) also conducted a study focused on infants that were exposed to buprenorphine or methadone while in utero. Unlike MacMullen et al. (2014) their focus was on predicting how the symptoms of NAS might manifest in the exposed newborns. Since the 1970s (MacMullen et al., 2014) methadone has been the treatment of choice for mothers with opioid dependence during pregnancy, the use of this drug allows for a decrease in withdrawal symptoms for the child after birth. The main categories of symptoms include central nervous system hyperirritability, gastrointestinal dysfunction, respiratory distress and vague autonomic symptoms (MacMullen et al., 2014). Although methadone has been being used for many years buprenorphine has only been used since 2002 in the United States (MacMullen et al., 2014). Their research was consistent with Kaltenbach et al. (n.d.) in that infants born to buprenorphine-exposed mothers had lower scores for NAS than those born to methadone-exposed mothers, but still had varying severities of symptoms and scores across all infants. For at least 10 days after birth, an expert scored the newborns on a modified Finnegan scale every 4 hours. The results showed that high birth weight was often a predictor for high NAS scores, along with lower NAS scores for infants delivered by cesarean section. MacMullen et al. (2014) were unable to find any connection between the use of methadone and buprenorphine to indicators of symptoms of NAS. The main

Opioid addicted babies need treatment in the hospital setting to help them through the withdrawal process. Studies are showing what medications to use to help reduce the length of hospital stay. Today, many neonates stay in the hospital much longer than years past, this is generally due to being born addicted to opioids. The United States is suffering from an epidemic of opioid abuse. When a pregnant mother is addicted to opioids these drugs cross the placenta, causing the neonates to be born addicted. According to Hall et al. (2015), this epidemic can cause opioid misuse, overdose or even death. When looking at the United States from 2005-2011, “more than 14% of pregnant women were dispensed an opioid at some time in their pregnancy”, (Hall, 2015, pg.40). Depending on the length of medication used and timing during the pregnancy will determine how a neonate will withdraw after birth. This withdrawal is becoming a common practice and is known as Neonatal Abstinence Syndrome (NAS). By 2015, this syndrome would affect one neonate in 200 births. Improvements in medications and techniques help neonates get through withdrawal. I have created a PICO to help form this paper. This paper will compare the two medications; Morphine and Buprenorphine are most commonly used to help neonates withdrawing in the

The patient appears to be happy and focused on her recovery process. This writer discussed with the patient briefly about her treatment plan goals and also, briefly discussed tapering off methadone, at which the patient is willing to pursue but at a seldom pace. There was no evidence of

In the United States, prenatal substance use continues to be a widespread problem with the addictive substances used during pregnancy; the risk factors, and the long-term effects a baby can have. When a pregnant woman uses drugs, she and her unborn child face serious health problems. Long-term effects of drugs on babies can include behavioral problems as they grow older. They can also be born addicted to the drugs used to treat the mother’s addiction. The task at hand is to make sure that we view all drugs of abuse through a common lens, regardless of legal status, so that their impact on child outcome can be adequately assessed leading to appropriate policy

It is no secret that Egypts new Pharaoh was threatened by the children of Israel and his enslavement and back breaking labour did not stop the Jews from multiplying. For this reason our Pharaoh also commanded that all new born Jewish males must be cast into the Nile.

Why are so many violent criminals walking free while so many non-violent offenders are locked up? Although various aspects have fueled this inequity of justice, the factors that have contributed the most to this development are, undoubtedly, the War on Drugs and mandatory minimum sentencing laws which have led to punishment disproportionate to the offense.

I interviewed my primary care physician Dr. Michelle Class, who is a pediatrician in the private practice of Lori McAuliffe, M.D., P.A. Dr. Class has worked in the field of pediatrics since completing Medical school at The University of Florida and a 3-year residency to become a board certified pediatrician. She offers primary care to children from birth till the age of twenty-one, and provides routine physicals to chart growth and development, well-visits, and professional consultation, diagnosis and treatment for chronic and temporary illness or other health issues. All efforts work toward preventing disease and injury amongst children, the primary goal of all pediatricians in the field of health care. The practice at which she works also allows doctors to utilize epidemiological resources and inform patients about current health trends regarding illness, current school, county regulations updates on health and vaccination deadlines, and basic understanding of childcare, hygiene, and nutrition practices for children and parents. I chose to interview Dr. Class because she is an excellent doctor, who I have been privileged to have over the years. She has personally given me her very best whenever my health was poor, as well as been a wonderful person who truly cares for her patients physical and mental wellbeing. Her passion and dedication to the craft of pediatric medicine are evident in the quality of care and service she

Substance abuse during pregnancy can have a negative force on the health and wellness of not only the fetus, but that of the mother. The harmful effects of medications, alcohol and illegal drugs on an unborn child can be devastating and can have significant consequences to its use. Sometimes the effects can be faced and treated, and other times the outcome is a lifelong challenge. During the prenatal period, it is important that new mothers are informed of the different types of abuse, how they may affect the fetus, and the adverse conditions their child may be faced with before and after birth.

The Doctor that is working on this baby says “ It's very sad to see them” A number of factors contribute to the severity of an infant’s withdrawal symptoms, such as how long and often the mother had used drugs. The symptoms of these newborns show up 1-2 days after the baby is born. The symptoms include frequent, inconsolable crying, trouble sleeping and eating, vomiting