Neonatal Abstinence ScoreTo assess the signs/severity of withdrawal in an infantLoading...CryNormal0Excessive, high-pitch less than 5 min+2Continuous, high-pitch more than 5 min+3SleepNormal0Sleeps less than 3 hrs after feeding+1Sleeps less than 2 hrs after feeding+2Sleeps less than 1 hr after feeding+3Moro ReflexNormal0Hyperactive+2Markedly Hyperactive+3TremorNormal0Mild when disturbed+1Mod-severe when disturbed+2Mild when undisturbed+3Mod-severe when undisturbed+4Muscle toneNormal0Increased+1ExcoriationsNone or Normal0Yes; chin, knees, elbows, toes, nose+1Myoclonic jerksNone0Yes+3Generalized convulsionsNone0Yes+5SweatingNone or Normal0Yes; excessive+1HyperthermiaNone or Normal037.2 - 38.3 C+138.4 C or higher+2Frequent YawningNone or Normal0More than 3 times per scoring interval+1MottlingNone0Yes+1Nasal stuffinessNo0Yes+1SneezingNone or Normal0More than 3 times per scoring interval+1Nasal flaringNone0Yes+2Respiratory rateNormal0More than 60 times per minute+1Retractions and more than 60 times per minute+2Excessive suckingNormal0Yes+1Poor feedingNormal feeding0Infrequent, uncoordinated suck+2EmesisNone or Normal02 or more times during or after feeding+2Projectile vomiting+3StoolNormal0Loose stools+2Watery stools+3사용 적응증통찰 및 주의사항