CIWA-Ar

Optimize benzodiazepine treatment of patients alcohol withdrawal

Questions

1.Nausea & Vomiting?
2.Tremor?
3.Paroxysmal Sweats?
4.Tactile Disturbance?
5.Auditory Disturbances?
6.Visual Disturbances?
7.Anxiety?
8.Agitation?
9.Headache, Fullness in Head?
10.Orientation and Clouding of Sensorium?

About

The CIWA-Ar Score is a scale used in the management of alcohol withdrawal.

This is a validated scoring system that has high inter-rater reliability.

Saitz et al showed that using the CIWA-Ar scoring system along with symptom-triggered treatment protocol, it is possible to shorten benzodiazepine treatment duration to 9 hrs from 68 hrs in a fixed-schedule benzodiazepine group (P < .001).

The symptom-triggered group received markedly less benzodiazepine than the fixed-schedule group, with no significant differences in the severity of withdrawal during treatment or in the incidence of seizures or delirium tremens.

References

Saitz R, Mayo-Smith MF, Redmond HA, Bernard DR, Calkins DR.

Individualized treatment for alcohol withdrawal. A randomized double-blind controlled trial.

JAMA: the Journal of the American Medical Association 1994 August 17, 272 (7): 519-23

The CIWA-Ar calculator is created by QxMD.

Created by on 16/12/2017

By using this site you acknowledge that you have read, understand, and agree to be bound by our terms of use and privacy policy. All content and tools are for educational use only, are not meant to be a substitute for professional advice and should not be used for medical diagnosis and/or medical treatment.

1. Nausea & Vomiting?

More Information

Ask, "Do you feel sick to your stomach? Have you vomited?

Describe your observation and rate severity.

0/10 completed