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Resting Pulse Rate (bpm)
Measure after patient has been sitting or lying for 1 minute.
Sweating
Observe. Not accounted for by room temperature or patient activity over the past 0.5 hour.
Restlessness
Observation during assessment.
Pupil Size
Observe.
Bone or Joint Aches
If the patient was having pain previously, only the additional component attributed to opioid withdrawal is scored.
Runny Nose or Tearing
Not accounted for by cold symptoms or allergies.
GI Upset
Over the last 0.5 hour.
Tremor
Observe. Hands outstretched.
Yawning
Observe.
Anxiety or Irritability
Observe.
Goosebumps / Piloerection
Observe skin on arms.
Verified
Last Review: 2026
Last Comprehensive Review: 2026