Modified Finnegan Neonatal Abstinence Score (NAS)Pharmacologic treatment required ifLoading...CryNormal0Excessive high-pitched cry < 5 min+2Continuous high-pitched cry > 5 min+3SleepNormal0Sleeps < 3 hrs after feeding+1Sleeps < 2 hrs after feeding+2Sleeps < 1 hr after feeding+3Moro reflexNormal0Hyperactive+2Markedly hyperactive+3TremorsNone0Mild tremors when disturbed+1Moderate-severe tremors when disturbed+2Mild tremors when undisturbed+3Moderate-severe tremors when undisturbed+4Increased muscle toneNo0Yes+1Excoriation (e.g., chin, knees, elbows, toes, nose)No0Yes+1Myoclonic jerks (twitching/jerking of limbs)No0Yes+3Generalized convulsionsNo0Yes+5SweatingNo0Yes+1HyperthermiaNone037.2-38.3C (99.0-100.9F)+1>38.3C (>100.9F)+2Frequent yawning (> 3-4x per scoring interval)No0Yes+1Nasal flaringNo0Yes+2Respiratory rateNormal0> 60 bpm, no retractions+1> 60 bpm w/ retractions+2Excessive suckingNo0Yes+1Poor feeding (infrequent/uncoordinated suck)No0Yes+2RegurgitationNo0≥ 2x during/post-feeding+2Projectile vomitingNo0Yes+3StoolsNo0Loose (curds/seedy)+2Watery (water ring on diaper around stool)+3IndikationenHinweise & Vorsichtsmaßnahmen