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COWS Clinical Opiate Withdrawal Scale

For each item, write in the number that best describes the patient’s signs or symptom. Rate on just the apparent relationship to opiate withdrawal. For example: If heart rate is increased because the patient was jogging just prior to assessment, the increased pulse rate would not add to the score. For opiate induction: enter scores at time zero, 30 minutes after first dose, 2 hours after first dose, etc..
Who is it who has asked you to fill out this form? - choose one
This question requires a valid date format of MM/DD/YYYY.
Record beats per minute. Measured after patient is sitting or lying for one minute.  This question requires a valid number format.
Over Past 1/2 Hour not Accounted for by Room Temperature or Patient Activity
Observation During Assessment
Bone or Joint Aches if Patient was Having Pain Previously, only the Additional Component Attributed to Opiate Withdrawal is Scored
Runny Nose or Tearing Not Accounted for by Cold Symptoms or Allergies
GI Upset: Over Last 1/2 Hour
Tremor Observation of Outstretched Hands
Yawning Observation During Assessment
Anxiety or Irritability