STANDING ORDER OPIATE/HEROIN WITHDRAWAL PROTOCOL I ...
[Pages:4]Deschutes County Sheriff's Office ? Adult Jail L. Shane Nelson, Sheriff Facility Provider:
SO-558 Standing Order
June 5, 2019
STANDING ORDER
OPIATE/HEROIN WITHDRAWAL PROTOCOL
I. Definition
Opiate withdrawal syndrome is generally not life threatening. Withdrawals are characterized by hypertension, tachycardia, agitation, tremulousness and anxiety. Onset of withdrawal usually coincides with the time of the next habitual drug dose.
II. Opiate Withdrawal Syndrome (COWS) scoring scale:
COWS score 5-12
mild withdrawal
COWS score 13-36 moderate withdrawal
COWS score >36
severe withdrawal
III. Mild Opiate Withdrawal (COWS score 12 or below):
Subjective complaints:
Pt states withdrawing from.... (opiate, heroin) Use of opiate for more than 3 weeks Use of < ? gram/day heroin, ................
................
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