Clinical Opiate Withdrawal Scale (COWS) Book Appointment Filll in the form Full Name Email Resting Pulse Rate: pulse rate 80 or below pulse rate 81-100 pulse rate 101-120 pulse rate greater than 120 Sweating: over past ½ hour not accounted for by room temperature or patient activity. no report of chills or flushing subjective report of chills or flushing flushed or observable moistness on face 3 beads of sweat on brow or face sweat streaming off face Restlessness able to sit still reports difficulty sitting still, but is able to do so frequent shifting or extraneous movements of legs/arms Unable to sit still for more than a few seconds Pupil size pupils pinned or normal size for room light pupils possibly larger than normal for room light pupils moderately dilated pupils so dilated that only the rim of the iris is visible Bone or Joint aches not present mild diffuse discomfort patient reports severe diffuse aching of joints/ muscles patient is rubbing joints or muscles and is unable to sit still because of discomfort Runny nose or tearing not present nasal stuffiness or unusually moist eyes 2 nose running or tearing nose constantly running or tears streaming down cheeks GI Upset: over last ½ hour no GI symptoms stomach cramps nausea or loose stool vomiting or diarrhea Multiple episodes of diarrhea or vomiting Tremor No tremor tremor can be felt, but not observed slight tremor observable gross tremor or muscle twitching Yawning no yawning yawning once or twice during assessment yawning three or more times during assessment yawning several times/minute Anxiety or Irritability none patient reports increasing irritability or anxiousness patient obviously irritable anxious patient so irritable or anxious that participation in the assessment is difficult Gooseflesh skin skin is smooth piloerrection of skin can be felt or hairs standing up on arms prominent piloerrection I accept the Terms of Service Submit
