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Alcohol Withdrawal Assessment Scoring Guidelines Ciwa

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Alcohol Withdrawal Assessment Scoring Guidelines (CIWA

www.ewin.nhs.uk

The CIWA-Ar scale is the most sensitive tool for assessment of the patient experiencing alcohol withdrawal. Nursing assessment is vitally important. Early intervention for CIWA-Ar score of 8 or greater provides the best means to prevent the progression of withdrawal.

  Assessment, Guidelines, Scoring, Withdrawal, Alcohols, Alcohol withdrawal assessment scoring guidelines, Alcohol withdrawal, Acwi

Alcohol Withdrawal Assessment Scoring Guidelines (CIWA

www.womenscollegehospital.ca

Alcohol Withdrawal Assessment Scoring Guidelines (CIWA - Ar) Nausea/Vomiting - Rate on scale 0 - 7 Tremors - have patient extend arms & spread fingers. Rate on scale 0 - 7. 0 - None 0 - No tremor 1 - Mild nausea with no vomiting 2 3 1 - Not visible, but can be felt fingertip to fingertip 2 3 4 - Intermittent nausea 5 6

  Assessment, Guidelines, Scoring, Withdrawal, Alcohols, Alcohol withdrawal assessment scoring guidelines, Acwi

Alcohol Withdrawal Protocol

www.divisiononaddiction.org

Alcohol Withdrawal Protocol Give Thiamine 100mg IV initially and qd (po, IM/IV), Folate 1mg qd, MVI qd. Assess current state of withdrawal with CIWA-Ar scoring sheet, attached. A.CIWA <8 and Low Risk Monitor CIWA q shift for 2 days If CIWA >8, go to B. B.CIWA >8 OR Moderate Risk Ativan 1-2mg IV or 2-4mg PO x1 stat Ativan 1mg IV or 2mg PO q4-6h ...

  Scoring, Withdrawal, Alcohols, Alcohol withdrawal, Acwi

Alcohol Intoxication Withdrawal, Adult ED/UCC Order Set

www.albertahealthservices.ca

Recommend an hourly symptom-based regimen, using the Clinical Institute Withdrawal Assessment for Alcohol (CIWA-Ar) score or the short scale of withdrawal severity (SHOT) to assess medication initiation/continuation. The recommended goal is to achieve light somnolence OR to achieve minimal to moderate sedation.

  Assessment, Withdrawal, Alcohols, Acwi, Withdrawal assessment

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