Clinical institute withdrawal assessment scale for alcohol, revised (CIWA-Ar): Difference between revisions
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Revision as of 23:57, 8 August 2012
Scoring
Total score is a simple sum of each score item (maximum is 67)
<10: Very mild withdrawal
10-15: Mild withdrawal
16-20: Modest withdrawal
>20: Severe withdrawal
Assessment Scale
Nausea and vomiting
0 No nausea and vomiting
1
2
3
4 Intermittent nausea with dry heaves
5
6
7 Constant nausea, frequent dry heaves and vomiting
Paroxysmal sweats
0 No sweats visible
1 Barely visible sweating, palms moist
2
3
4 Beads of sweat obvious on forehead
5
6
7 Drenching sweats
Anxiety
0 No anxiety
1
2
3
4 Moderately anxious, guarded
5
6
7 Acute panic state, consistent with severe delirium or acute schizophrenia
Agitation
0 Normal activity
1 Somewhat more than normal activity
2
3
4 Moderately fidgety and restless
5
6
7 Paces back and forth during most of the interview or constantly thrashes about
Tremor
0 No tremor
1 Not visible, but can be felt at fingertips
2
3
4 Moderate when patient's hands extended
5
6
7 Severe, even with arms not extended
Headache
0 Not present
1 Very mild
2 Mild
3 Moderate
4 Moderately severe
5 Severe
6 Very severe
7 Extremely severe
Auditory disturbances
0 Not present
1 Very mild harshness or ability to frighten
2 Mild harshness or ability to frighten
3 Moderate harshness or ability to frighten
4 Moderately severe hallucinations
5 Severe hallucinations
6 Extremely severe hallucinations
7 Continuous hallucinations
Visual disturbances
0 Not present
1 Very mild photosensitivity
2 Mild photosensitivity
3 Moderate photosensitivity
4 Moderately severe visual hallucinations
5 Severe visual hallucinations
6 Extremely severe visual hallucinations
7 Continuous visual hallucinations
Tactile disturbances
0 None
1 Very mild paresthesias
2 Mild paresthesias
3 Moderate paresthesias
4 Moderately severe hallucinations
5 Severe hallucinations
6 Extremely severe hallucinations
7 Continuous hallucinations
Orientation and clouding of sensorium
0 Orientated and can do serial additions
1 Cannot do serial additions
2 Disoriented for date by no more than 2 calendar days
3 Disoriented for date by more than 2 calendar days
4 Disoriented for place and/or patient
Template:WH
Template:WS