What is CIWA protocol used for?

What is CIWA protocol used for?

The Clinical Institute Withdrawal Assessment Alcohol Scale Revised (CIWA-AR) is an instrument used by medical professionals to assess and diagnose the severity of alcohol withdrawal. The CIWA-AR is one of the most common methods of treating alcohol withdrawal and is often used by family physicians.

What does CIWA assessment stand for?

The Clinical Institute Withdrawal Assessment for Alcohol, commonly abbreviated as CIWA or CIWA-Ar (revised version), is a 10-item scale used in the assessment and management of alcohol withdrawal.

When should the CIWA scale be used?

The CIWA-Ar should used in all patients suspected of being at risk to have alcohol withdrawal. Because it takes only a minute or two to administer, the scale can be used as frequently (i.e., every 1-2 hours) and can be used early when alcohol withdrawal is viewed only as a clinical risk.

What does a CIWA score of 4 mean?

4 – moderate hallucinations. 4 – moderate hallucinations. 5 – severe hallucinations. 5 – severe hallucinations. 6 – extremely severe hallucinations.

How often do you assess Ciwa?

Monitor the patient by administering the CIWA-Ar (see Figure 1) every 4 to 8 hours until the score has been lower than 8 to 10 points for 24 hours. Perform additional assessments as needed. Administer the CIWA-Ar every hour to assess the patient’s need for medication.

Do you wake patients for Ciwa?

Assessment occurs around the clock; wake patient if sleeping! CIWA-Ar assessment every 4 hrs unless: Score < 8 on 3 consecutive assessments = assess every 8 hrs.

How many items does the Ciwa scale measure?

The Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised (CIWA-Ar) is a 10-item questionnaire that measures the current degree of severity of an individual’s alcohol withdrawal symptoms.

How does the Ciwa scale work?

The CIWA-Ar scale can measure 10 symptoms. Scores of less than 8 to 10 indicate minimal to mild withdrawal. Scores of 8 to 15 indicate moderate withdrawal (marked autonomic arousal); and scores of 15 or more indicate severe withdrawal (impending delirium tremens).

What is a good Ciwa score?

What is the maximum Ciwa score?

The CIWA-Ar is not copyrighted and may be reproduced freely. This assessment for monitoring withdrawal symptoms requires approximately 5 minutes to administer. The maximum score is 67 (see instrument). Patients scoring less than 10 do not usually need additional medication for withdrawal.

When do you discontinue Ciwa?

Reassess patient every 6hrs or as symptoms present and document score. Once CIWA-Ar score is less than 8 for 72hrs, contact provider to discontinue protocol.