Clinical Opiate Withdrawal Scale (COWS)

Purpose: To evaluate a patient for opiate withdrawal using the Clinical Opiate Withdrawal Scale (COWS) of Wesson and Ling.

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Evaluation

Are you evaluating a patient undergoing opiate withdrawal?

Yes

Resting pulse rate

beats per minute

Select the appropriate answer for each finding

Sweating and/or flushing

Restlessness

Pupil size

Bone and/or joint aches

Running nose and/or tearing eyes

GI upset

Tremor

Yawning

Anxiety and/or irritability

Gooseflesh

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Total COWS score

Severity of withdrawal symptoms

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
- Screening a Trauma Patient for Risk of Delirium Tremens Using the AST and MCV
- Risk Factors Delirium Tremens Developing in Intoxicated Trauma Patient
Clinical Diagnosis, Including Family History For Genetics
Other Testing
- Subjective Scoring Index Opiate Withdrawal during Naloxone Therapy
- Scoring System Neonatal Abstinence Syndrome
Severity, Prognosis, Stage

Therapy

Selection
- Risk Factors Delirium Tremens Developing in Intoxicated Trauma Patient

Monitoring

Adverse Effects
Complication Detection
- Clinical Features of Gabapentin Withdrawal Syndrome

Specialty

Toxicology
Emergency Medicine
Critical Care

Objective

severity
prognosis
stage
selection
failure handling and therapy escalation
response to therapy
compliance/adherence
disease progression

ICD-10

F11 - Mental and behavioural disorders due to use of opioids

Info

Purpose: To evaluate a patient for opiate withdrawal using the Clinical Opiate Withdrawal Scale (COWS) of Wesson and Ling.

Specialty: Toxicology, Emergency Medicine, Critical Care

Objective: severity, prognosis, stage, selection, failure handling and therapy escalation, response to therapy, compliance/adherence, disease progression

ICD-10: F11,

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