CIWA Set Test Questions With Reviewed Correct Detailed Answers New Update!!

CIWA Set Test
Questions With Reviewed Correct
Detailed Answers
New Update!!

1. What is Thiamine? - ANSWER =Vitamin B1


2. Deficiency can result in *Wernicke's encephalopathy*


3. What are the Sx of *Thiamine Deficiency*? (4) - ANSWER 1. Irritability


2. Memory impairment


3. Loss of appetite


4. Abdomen pain


4. What is the triad of *Wernicke's Encephalopathy*? - ANSWER Ataxia,
delirium/confusion, opthalmoplegia (eye muscle paralysis)


5. How does *alcohol* affect Thiamine? - ANSWER Interferes w/ *GI
transport* of Thiamine

, 6. How does *chronic liver disease* affect Thiamine? - ANSWER Diminishes
Thiamine storage


7. What is the Px for *Wernicke's EncephalopathY? - ANSWER 10 - 20%
Mortality

➢ 80% have *Korsakoff* (memory disorder) that needs long-term
institutionalization


8. What is *CIWA*? - ANSWER =*Clinical *Institute *Withdrawal
*Assessment for *Alcohol


9. Used for assessing need for alcohol withdrawal Tx (*ranges from 0-67)


10. What happens if CIWA score is *< 10*? - ANSWER No Tx is needed


Reassess *Q1Hx3*, then *Q6Hx4*, then *Q24Hx3*


11. What happens if CIWA score is *10 - 20*? - ANSWER Further
*assessment* is needed


Lorazepam *1-2 mg* Q1H


Reassess *Q1H* until *< 10*