To save favorites, you must log in. Creating an account is free, easy, and takes about 60 seconds. Log in to create a list of your favorite calculators! Log in Objectifies alcohol withdrawal severity to help guide therapy. The Clinical Institute Withdrawal Assessment for Alcohol, revised CIWA-Ar scale has ten items, each evaluated independently then aggregated to yield a score correlating with severity of alcohol withdrawal. There is no absolute relationship between alcohol use pattern and risk of physiologic dependence or withdrawal for a given individual.

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This health tool evaluates alcohol related symptoms and whether the subject has developed AWS — alcohol withdrawal syndrome based on the Clinical Institute Withdrawal Assessment for Alcohol revised scale. This CIWA-Ar for alcohol withdrawal calculator contains 10 questions with different answer choices, all weighing from 0 to 7 points. It is also used to monitor therapy and to avoid under or over medication with benzodiazepines in patients with alcohol withdrawal.

Have you vomited? Questions then followed by a discussion about related symptoms and frequency. Does it feel like there is a band around your head? The assessor note is that dizziness or lightheadedness should not be taken in consideration at this stage and only head ache severity should be counted. Where are you? Who am I? Is its color different? Does it hurt your eyes? Are you seeing anything that is disturbing to you? Are you seeing things you know are not there?

Are they harsh? Do they frighten you? Are you hearing anything that is disturbing to you? Are you hearing things you know are not there? Usually the score comes with a Withdrawal Assessment Sheet or the clinician can start one on their own and also state the vitals expecting a slight derangement from normal in them as well and the administration of medication schedule.

The CIWA-Ar should also be repeated and reassessed the symptoms in 30 to 60 minutes from the moment medication has been administered. Only criticism is that CIWA-Ar scale cannot be used with patients with other dependencies beside alcohol, in patients with severe liver conditions or those with whom communication is impaired and cannot report the symptoms.


Clinical Institute Withdrawal Assessment for Alcohol



Introduction of the CIWA-ar scale in an acute general hospital



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