Reviewed Correct Detailed Answers
New Update!!
1. COWS Scale - ANSWER Clinical Opiate Withdrawal Scale
2. CIWA - ANSWER Clinical Institute Withdrawal Assessment
COWS scale
3. for buprenorphine/ naloxone induction: - ANSWER - enter scores at
time zero
- 1-2hrs after the first dose
- and at additional time that buprenorphine/naloxone is given
4. components assessed: - ANSWER - resting pulse (measured after
patient is sitting/lying for 1 minute)
- sweating (over past 1/2 hour not accounted for by room temperature or patient
activity)
- restlessness
, - pupil size
- bone or joint aches
- runny nose or tearing (not accounted for by colds/allergies)
- GI upset (over past 1/2 hr)
- tremor (observation of outstretched hand).
- yawning
- anxiety or irritability
- gooseflesh skin
5. When to give first dose of medication?
- on cows scale - ANSWER cow score greater or equal to 7
6. Scoring on cows scale - ANSWER - 5-12 mild
- 13-24 moderate