Cows scale 2026

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The document outlines the Clinical Opiate Withdrawal Scale (COWS), a flow-sheet designed to assess and quantify symptoms of opiate withdrawal in patients over time. It provides a scoring system for various withdrawal symptoms, including pulse rate, sweating, restlessness, pupil size, bone or joint aches, runny nose, gastrointestinal upset, tremors, yawning, anxiety or irritability, and gooseflesh skin. The total score categorizes the severity of withdrawal into mild, moderate, moderately severe, or severe.

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Click ‘Get Form’ to open the cows scale in the editor.
Begin by entering the patient's name and date at the top of the form. This information is crucial for tracking withdrawal symptoms over time.
For each symptom listed, assess the patient and record scores based on their condition. Start with 'Resting Pulse Rate'—measure after the patient has been seated for one minute and select the appropriate score.
Continue through each section, including 'Sweating', 'Restlessness', and 'Pupil size'. Carefully observe and document findings according to the scoring criteria provided.
After completing all sections, calculate the total score at the bottom of the form. This will help determine the severity of withdrawal symptoms.

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