Transcription of Finnegan Neonatal Abstinence Scoring Tool (FNAST) …
1 Crying: Excessive High PitchedCrying: Cont. High PitchedSleeps < 1 Hr After FeedingSleeps < 3 Hr After FeedingHyperactive Moro Re exMarkedly Hyperactive Moro Re exMild Tremors: DisturbedMod-Severe Tremors: DisturbedMild Tremors: UndisturbedMod-Severe Tremors UndisturbedIncreased Muscle ToneExcoriation (Speci c Area)Myoclonic JerkGeneralized ConvulsionsSweatingFever < 101 ( )Fever > 101 ( )Frequent Yawning (> 3)Projectile VomitingLoose StoolsMottlingNasal Stu nessSneezing (>3)Nasal FlaringRespiratory Rate (> 60/Min)Respiratory Rate (>60/Min With RetractionsExcessive SuckingPoor FeedingRegurgitationWatery StoolsTotal ScoreInitials Of Scorer 1 Initials Of Scorer 2 Average Daily ScoreInter-Observer Reliability %Sleeps < 2 Hr After FeedingTimeAdapted from Finnegan , , Kaltenbaach. K. The assessment and management of Neonatal Abstinence Sundrome.)
2 Primary Care, 3rd editions, Hoekelman + Nelson (eds.), Mosby Company, St. Luois, MO., pp. 1367-1378, 1992. The Finnegan Neonatal Abstinence SCORE is for the assessment of infants exposed in utero to psychoactive drugs, particularly opioids/opiates. Evaluator should check signs or symptoms observed at various time intervals and add the scores to obtain a total score. Observation of the scores over the time interval provides the progression/diminution of symptoms. Copyright, 2007 Finnegan Neonatal Abstinence Scoring tool (FNAST)Date:Today s Weight:DOB:Patient ID:Name:Central Nervous System DisturbancesMetabolic, Vasomotor And Respiratory DisturbanceGastrointestinal DisturbancesScorePMCommentsAMSigns & SymptomsScore221111111111122245222222333 3333