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CIWA & COWS (Exam 3) - Questions And Accurate Answers
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CIWA & COWS (Exam 3) - Questions And Accurate Answers
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CIWA & COWS (Exam 3) - Questions And AccurateAnswers
What is the CIWA-ar? Right Ans - Alcohol Withdrawal Assessment Scoring
What is the COWS? Right Ans - clinical opiate withdrawal scale
What Is Precipitated Withdrawal? Right Ans - It is a rapid and intense
onset of withdrawal symptoms
initiated by a medication.
To avoid precipitated withdrawal, physically
dependent patients must no longer be? Right Ans - experiencing the
agonist effects of an opioid
Short-acting Opioids: Right Ans - (Heroin, Crushed OxyContin, Percocet,
Vicodin, Oxycodone and others)
Long-acting Opioids: Right Ans - OxyContin, taken orally
Points to know about the COWS and giving Buprenorphine: Right Ans - -
can’t be actively high on opioids, COWS scores 5-24
-if transitioning from methadone to Buprenorphine, do it slowly
In the case of Buprenorphine, Right Ans - because it has a higher binding
strength at the opioid receptor, it competes for the receptor, "kicks off" and
replaces existing opioids.
-If a significant amount of opioids are expelled from the receptors and
replaced, the opioid physically dependent patient will feel the rapid loss of the
opioid effect, initiating withdrawal symptoms.
The goal of induction is to safely suppress opioid withdrawal as rapidly as
possible with? Right Ans - adequate doses of Buprenorphine. Failure to do
so may cause patients to use
opioids or other medications to alleviate opioid withdrawal symptoms or may
lead to early
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