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Title:

Substance Abuse

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Substance Abuse NUR 113 Debbie Hogan RN Tobacco Effects of nicotine-constriction of blood vessels Produces smaller placenta=SGA infant Cessation program Alcohol ... – PowerPoint PPT presentation

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Title: Substance Abuse


1
Substance Abuse
  • NUR 113
  • Debbie Hogan RN

2
Tobacco
  • Effects of nicotine-constriction of blood vessels
  • Produces smaller placentaSGA infant
  • Cessation program

3
Alcohol
  • Crosses the placenta as soon as in moms blood
  • Effects are noted with neuro functioning
  • Fetal Alcohol Syndrome
  • Advise mom-NO ETOH

4
Prescription Drugs
  • Schedule II, III, and IV
  • Other Rx
  • Rx for health problems-is drug tetrogenic?

5
Illicit Drugs
  • Marijuana
  • Cocaine
  • Methylamphetamine
  • Opiates
  • Other drugs

6
Effects of Illicit Drugs
  • Moms often do not seek prenatal care if abusing
    drugs
  • Placenta-small
  • Fetus-SGA, addiction at birth, long term
    developmental delays
  • Cessation/education/rehab/clinics

7
Nursing Care for Mom with Substance Abuse
  • Determine type and amount of substance
  • How long has fetus been exposed
  • When was last encounter
  • Moms weight/fundal height/FHR
  • Plans after delivery
  • Social Services involvement
  • Moms support

8
Nursing Care for Babe Exposed to Substance Abuse
  • Determine drug(s)
  • Fundal height/SGA
  • Resuscitative measures
  • NICU
  • Foster Care

9
Conclusion
  • NO NICOTINE
  • NO ETOH
  • NO ILLICTS

10
Survival Tips for Nurses
  • When dealing with substance abuse moms
  • Establish trust-you need to help babe
  • Use therapeutic communication
  • Avoid being judgmental/biased
  • Make referrals if necessary
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