Week 12 - CIWA
What is *CIWA*? - answer=*C*linical *I*nstitute *W*ithdrawal *A*ssessment for
*A*lcohol
Used for assessing need for alcohol withdrawal Tx (*ranges from 0-67)
What happens if CIWA score is *< 10*? - answerNo Tx is needed
Reassess *Q1Hx3*, then *Q6Hx4*, then *Q24Hx3*
What happens if CIWA score is *10 - 20*? - answerFurther *assessment* is needed
Lorazepam *1-2 mg* Q1H
Reassess *Q1H* until *< 10*
What happens if CIWA score is *> 20*? - answerStart Tx or increase current Tx (Ex.
Ativan to calm patient down)
Lorazepam *2-3 mg* Q1H
Reassess *Q30-Q45min.* until *< 20*
What are the *stages* of Alcohol Withdrawal? - answerStage 1 - Minor
Stage 2 - Major
Stage 3 - Delirium Tremens
What is the *timeframe* for Stage 1? - answer5 - 6 hrs after last drink
What are the Sx of Stage 1? - answer1. Agitation
2. Restlessness
3. Mild nausea & tremors
4. Tachycardia
5. Decreased appetite
6. Sleep disturbances
What is *CIWA*? - answer=*C*linical *I*nstitute *W*ithdrawal *A*ssessment for
*A*lcohol
Used for assessing need for alcohol withdrawal Tx (*ranges from 0-67)
What happens if CIWA score is *< 10*? - answerNo Tx is needed
Reassess *Q1Hx3*, then *Q6Hx4*, then *Q24Hx3*
What happens if CIWA score is *10 - 20*? - answerFurther *assessment* is needed
Lorazepam *1-2 mg* Q1H
Reassess *Q1H* until *< 10*
What happens if CIWA score is *> 20*? - answerStart Tx or increase current Tx (Ex.
Ativan to calm patient down)
Lorazepam *2-3 mg* Q1H
Reassess *Q30-Q45min.* until *< 20*
What are the *stages* of Alcohol Withdrawal? - answerStage 1 - Minor
Stage 2 - Major
Stage 3 - Delirium Tremens
What is the *timeframe* for Stage 1? - answer5 - 6 hrs after last drink
What are the Sx of Stage 1? - answer1. Agitation
2. Restlessness
3. Mild nausea & tremors
4. Tachycardia
5. Decreased appetite
6. Sleep disturbances