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Finnegan NAS
Health
Finnegan NAS Score
Neonatal Abstinence Syndrome scoring tool.
Score each sign observed:
Cry
Normal (0)
Excessive high-pitched (2)
Continuous high-pitched (3)
Sleep after Feeding
Normal
Sleeps <3 hrs (1)
Sleeps <2 hrs (2)
Sleeps <1 hr (3)
Tremors
None
Mild when disturbed (1)
Moderate-severe when disturbed (2)
Mild undisturbed (3)
Moderate-severe undisturbed (4)
Muscle Tone
Normal (0)
Increased (1)
Feeding
Normal
Excessive/poor (2)
Stools
Normal
Loose (2)
Watery (3)
Other Signs (sneezing, stuffiness, sweating, fever, etc.)
Calculate
Finnegan Score
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Treatment Threshold
—
Score ≥8 on 3 consecutive assessments: Initiate pharmacological treatment (typically morphine or methadone).