Clinical Opioid Withdrawal Score (COWS) - Resting Pulse Rate: Record beats per minute after patient is sitting or lying down for one minute - Sweating: Over past ½ hour not accounted for by room temperature or activity - Restlessness: Observation during assessment - Pupil size - 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 allergy - GI upset: Over last ½ hour - Tremor: Observation of outstretched hands - Yawning: Observation during assessment - Anxiety or irritability - Gooseflesh skin #COWS #Clinical #Opioid #Withdrawal #Score #diagnosis #addiction
