CIWA-Ar

Optimize benzodiazepine treatment of patients alcohol withdrawal

The global unit selector only affects unanswered 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?
Created by

1. Nausea & Vomiting?

More Information

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

Describe your observation and rate severity.

Created by
0/10 completed

About this Calculator

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

Legal Notices and Disclaimer

© 2020 QxMD Software Inc., all rights reserved. No part of this service may be reproduced in any way without express written consent of QxMD. This information should not be used for the diagnosis or treatment of any health problem or disease. This information is not intended to replace clinical judgment or guide individual patient care in any manner. Click here for full notice and disclaimer.