COW means Clinical Opoid Withdrawal. COWS= Clinical Opoid Withdrawal Score.COW score is use for assessment and treatment of drugs Withdrawal.COW Scale is use for management of Opoid use disorder and Buprenorphine is the drug of choice for the treatment of OPoid disorder.

Drugs abusers uses drugs such as Fentanyl,Methamphetamine ,Xanax and other opiates.In every prescription of Opiate there is always warning from pharmacy that says “CAUTION:OPOID RISK OF OVERDOSE AND ADDICTION “.

Induction starts 48hours to 72hours following the last drugs used,follow doctor orders and your facility policy and procedures. Medications such as Buprenorphine(Suboxone )are used to start the initial induction depending on doctor and Psychiatric orders.Other medications are available such as ativan,phenobarbital,Benadryl, Toradol ,and Nausea/Vomiting medications such as Phenergan and Zofran if needed.Follow your facility policy and procedures.

COW Scale is use for the measurement of Opiate Withdrawal. Give the first Medication when the COW Score is greater than 7.

5 to 12 is mild withdrawal.

13 to 24 moderate withdrawal.

25 to 36 moderately severe withdrawal.


Eliminate drug abuse.COW Scale of 5 or less in 24 to 36hours is good.Encourage to stay sober.

Elimination of hunger for drugs or cravings. There should be no respiratory depression from medication. COW Score is used to monitor patient response to buprenorphine.

And this can be done by physicians or nurses.

Google.com/Search.Wesson& Ling 3 PsychoactiveDrugs.2003.

Published by edochie99

A Registered Nurse with over twenty years of hospital experience, an author with Masters Degree in Nursing,also Bachelor Degree in Nursing,graduated in 1996 from USC,University of Southern California.MSN in 2009 University of Phoenix.

Leave a comment

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

This site uses Akismet to reduce spam. Learn how your comment data is processed.

%d bloggers like this: