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Resting Pulse Rate: beats/minute
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Sweating: over past 1/2 hour not accounted for by room temperature or patient activity.
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Restlessness Observation during assessment
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Pupil size
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Bone or Joint aches
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Runny nose or tearing
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GI Upset: over last 1/2 hour
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Tremor observation of outstretched hands
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Yawning Observation during assessment
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Anxiety or Irritability
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Gooseflesh skin
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Total Score
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What symptoms are they self reporting? Has the nurse done a COWS or CIWA score recently-what is the rating? Check the Self-repor
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Narrative
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