Clinical opioid withdrawal scale - Revision history

Aidan at 15:43, 20 February 2022

2022-02-20T15:43:32Z

← Older revision		Revision as of 15:43, 20 February 2022
Line 97:		Line 97:
	\|		\|
	\|Prominent piloerection		\|Prominent piloerection
			\|-
			!Criterion
			!0
			!1
			!2
			!3
			!4
			!5
	\|}		\|}

Aidan: /* Interpretation */

2020-10-19T15:26:34Z

Interpretation

Show changes

Aidan: Aidan moved page Clinical opiate withdrawal scale to Clinical opioid withdrawal scale

2020-07-09T16:15:51Z

Aidan moved page Clinical opiate withdrawal scale to Clinical opioid withdrawal scale

← Older revision		Revision as of 16:15, 9 July 2020
(No difference)

Aidan: /* Criteria */ formatting

2020-07-05T14:19:02Z

Criteria: formatting

← Older revision		Revision as of 14:19, 5 July 2020
Line 11:		Line 11:
	! 5		! 5
	\|-		\|-
	\| Resting pulse rate<br/>(measured after sitting or lying for 1 minute)		\| '''Resting pulse rate'''<br/>(measured after sitting or lying for 1 minute)
	\| ≤80		\| ≤80
	\| 81-100		\| 81-100
Line 18:		Line 18:
	\|		\|
	\|-		\|-
	\| Sweating<br/>(not accounted for by ambient temperature or recent activity)		\| '''Sweating'''<br/>(not accounted for by ambient temperature or recent activity)
	\| No report of chills or lushing		\| No report of chills or lushing
	\| Subjective report of chills or flushing		\| Subjective report of chills or flushing
Line 26:		Line 26:
	\|		\|
	\|-		\|-
	\| Restlessness		\| '''Restlessness'''<br/>(observable during assessment)
	\| Able to sit still		\| Able to sit still
	\| Reports difficulty sitting still, but is able to do so		\| Reports difficulty sitting still, but is able to do so
Line 34:		Line 34:
	\| Unable to sit still for more than a few seconds		\| Unable to sit still for more than a few seconds
	\|-		\|-
	\| Pupil size		\| '''Pupil size'''
	\| Pupils pinned or normal size for room light		\| Pupils pinned or normal size for room light
	\| Pupils possibly larger than normal for room light		\| Pupils possibly larger than normal for room light
Line 42:		Line 42:
	\| Pupils so dilated that only the rim of the iris is visible		\| Pupils so dilated that only the rim of the iris is visible
	\|-		\|-
	\| Bone or joint aches<br/>(only the portion attributed to opioid withdrawal)		\| '''Bone or joint aches'''<br/>(only the portion attributed to opioid withdrawal)
	\| Not present		\| Not present
	\| Mild diffuse discomfort		\| Mild diffuse discomfort
Line 50:		Line 50:
	\|		\|
	\|-		\|-
	\| Runny nose or tearing<Br/>(not accounted for by cold or allergies)		\| '''Runny nose or tearing'''<br/>(not accounted for by cold or allergies)
	\| Not present		\| Not present
	\| Nasal stuffiness or unusually moist eyes		\| Nasal stuffiness or unusually moist eyes
Line 58:		Line 58:
	\|		\|
	\|-		\|-
	\| GI upset<br/>(over last half hour)		\| '''GI upset'''<br/>(over last half hour)
	\| No GI symptoms		\| No GI symptoms
	\| Stomach cramps		\| Stomach cramps
Line 66:		Line 66:
	\| Multiple episodes of vomiting or diarrhea		\| Multiple episodes of vomiting or diarrhea
	\|-		\|-
	\| Tremor<br/>(observable of outstretched hands)		\| '''Tremor'''<br/>(observable of outstretched hands)
	\| No tremor		\| No tremor
	\| Tremor can be felt, but not observed		\| Tremor can be felt, but not observed
Line 74:		Line 74:
	\|		\|
	\|-		\|-
	\| Yawning<br/>(observable during assessment)		\| '''Yawning'''<br/>(observable during assessment)
	\| No yawning		\| No yawning
	\| Yawning once or twice during assessment		\| Yawning once or twice during assessment
Line 82:		Line 82:
	\|		\|
	\|-		\|-
	\| Anxiety or irritability		\| '''Anxiety or irritability'''
	\| None		\| None
	\| Patient reports increasing irritability or anxiousness		\| Patient reports increasing irritability or anxiousness
Line 90:		Line 90:
	\|		\|
	\|-		\|-
	\| Gooseflesh skin		\| '''Gooseflesh skin'''
	\| Skin is smooth		\| Skin is smooth
	\|		\|

Aidan: Aidan moved page COWS to Clinical opiate withdrawal scale

2020-07-05T14:17:46Z

Aidan moved page COWS to Clinical opiate withdrawal scale

← Older revision		Revision as of 14:17, 5 July 2020
(No difference)

Aidan at 14:17, 5 July 2020

2020-07-05T14:17:27Z

← Older revision	Revision as of 14:17, 5 July 2020
Line 1:	Line 1:
		See also [https://www.mdcalc.com/cows-score-opiate-withdrawal MDCalc COWS score]

		==Criteria==
		{\| class="wikitable"
		! Criterion
		! 0
		! 1
		! 2
		! 3
		! 4
		! 5
		\|-
		\| Resting pulse rate<br/>(measured after sitting or lying for 1 minute)
		\| ≤80
		\| 81-100
		\| 101-120
		\| >120
		\|
		\|-
		\| Sweating<br/>(not accounted for by ambient temperature or recent activity)
		\| No report of chills or lushing
		\| Subjective report of chills or flushing
		\| Flushed or observable moistness on face
		\| Beads of sweat on brow or face
		\| Sweat streming 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<br/>(only the portion attributed to opioid withdrawal)
		\| 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<Br/>(not accounted for by cold or allergies)
		\| Not present
		\| Nasal stuffiness or unusually moist eyes
		\| Nose running or tearing
		\|
		\| Nose constantly running or tears streaming down cheeks
		\|
		\|-
		\| GI upset<br/>(over last half hour)
		\| No GI symptoms
		\| Stomach cramps
		\| Nausea or loose stool
		\| Vomiting or diarrhea
		\|
		\| Multiple episodes of vomiting or diarrhea
		\|-
		\| Tremor<br/>(observable of outstretched hands)
		\| No tremor
		\| Tremor can be felt, but not observed
		\| Slight tremor observable
		\|
		\| Gross tremor or muscle twitching
		\|
		\|-
		\| Yawning<br/>(observable during assessment)
		\| No yawning
		\| Yawning once or twice during assessment
		\| Yawning three or more times during assessment
		\|
		\| Yawning several times per 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
		\|
		\|
		\| Piloerection of skin can be felt or hairs standing up on arms
		\|
		\| Prominent piloerection
		\|}

		==Interpretation==
		* Mild: 5-12
		* Moderate: 13-24
		* Moderately- sever: 25-36
		* Severe: more than 36

		==Further Reading==
		* The Clinical Opiate Withdrawal Scale (COWS). ''J Psychoactive Drugs''. 2003;35(2):253-259. doi: [https://doi.org/10.1080/02791072.2003.10400007 10.1080/02791072.2003.10400007]

		[[Category:Addiction medicine]]

Aidan: Blanked the page

2020-07-05T13:53:58Z

Blanked the page

← Older revision		Revision as of 13:53, 5 July 2020
Line 1:		Line 1:
	#REDIRECT [[Slow-release oral morphine]]

Aidan: Redirected page to Slow-release oral morphine

2020-07-05T13:53:50Z

Redirected page to Slow-release oral morphine

New page

#REDIRECT [[Slow-release oral morphine]]