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