| Makindo Medical Notes.com | |
|---|---|
| Download all this content in the Apps now Android App and Apple iPhone/Pad App | |
| MEDICAL DISCLAIMER:The contents are under continuing development and improvements and despite all efforts may contain errors of omission or fact. This is not to be used for the assessment, diagnosis or management of patients. It should not be regarded as medical advice by healthcare workers or laypeople. It is for educational purposes only. Please adhere to your local protocols. Use the BNF for drug information. If you are unwell please seek urgent healthcare advice. If you do not accept this then please do not use the website. Makindo Ltd | |
Some neonates may be withdrawing from opioids +/-benzodiazepines as well as nicotine and/or alcohol Modified Lipsitz Score Tool
About
Seen with 
Clinical
Investigations
Scoring
Signs
 0
 1
 2
 3
 
 
Tremors (muscle activity of limbs)
 
Normal 
Minimally increased when hungry or disturbed 
Moderate or marked increase when undisturbed; subside when fed or held snugly 
Marked increase or continuous even when undisturbed, progressing to seizure-like movements
 
 
Irritability (excessive crying)
 
None 
Slightly increased 
Moderate to severe when disturbed or hungry 
Marked even when undisturbed 
 
Reflexes
 
Normal 
Increased 
Markedly increased 
  
 
Stools
 
Normal 
Explosive, but normal frequency
 
Explosive, more than 8 per day 
  
 
Muscle tone
 
Normal 
Increased 
Rigidity 
  
 
Skin abrasions
 
No 
Redness of knees and elbows
 
Breaking of skin 
  
 
Respiratory rate / minute
 
< 55 
55-75 
76-95 
  
 
Repetitive sneezing
 
No 
Yes 
  
  
 
Repetitive yawning
 
No 
Yes 
  
  
 
Vomiting
 
No 
Yes 
  
  
 
Fever
 
No 
Yes 
  
  
Management of Neonate
References