Cows scale printable 2026

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The Clinical Opiate Withdrawal Scale (COWS) is a standardized assessment tool used to evaluate the signs and symptoms of opiate withdrawal in patients. It includes various criteria such as pulse rate, gastrointestinal upset, sweating, tremors, restlessness, pupil size, anxiety, bone or joint aches, gooseflesh skin, and runny nose. Each item is scored to determine the severity of withdrawal, with total scores categorizing the withdrawal as mild, moderate, moderately severe, or severe.

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Click ‘Get Form’ to open the cows scale printable in the editor.
Begin by entering the patient's name, date, and time at the top of the form. This information is crucial for tracking and assessment purposes.
For each symptom listed, circle the number that best describes the patient's signs or symptoms. Start with the pulse rate; measure it after the patient has been sitting or lying down for one minute.
Continue through each section, including GI upset, sweating, tremors, restlessness, pupil size, anxiety or irritability, bone or joint aches, gooseflesh skin, and runny nose or tearing. Carefully assess and circle the appropriate scores based on observations.
Once all items are scored, calculate the total score at the bottom of the form. This will help determine the severity of withdrawal symptoms.
Finally, add your initials as the person completing the assessment to ensure accountability.

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What is the Ciwa and COWS score?

The CIWA scale has 11 symptoms that are evaluated and scored. The COWS scale evaluates 12 symptoms with a value placed on heart rate. The values are added up and the total score represents the patients withdrawal level. Librium is administered if the score falls within a range established by the medical staff.

What is the COWS assessment scale?

The Clinical Opiate Withdrawal Scale (COWS) is an 11-item scale designed to be administered by a clinician. This tool can be used in both inpatient and outpatient settings to reproducibly rate common signs and symptoms of opiate withdrawal and monitor these symptoms over time.

What items are included in the cows scale?

COWS Score for Opiate Withdrawal Resting Pulse Rate (BPM) Measure pulse rate after patient is sitting or lying down for 1 minute. Sweating. Restlessness observation during assessment. Pupil size. Bone or joint aches. Runny nose or tearing. GI Upset. Tremor observation of outstretched hands.

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