Clinical Institute Withdrawal Assessment

Refer to the clinical institute withdrawal assessment for alcohol scale (CIWA-Ar)... 

CIWA-Ar, Clinical Institute Withdrawal Assessment for Alcohol-Revised GABA, y-aminobutyric acid IV, intravenous NMDA, N-methyl D-aspartate. Br. J. Addict. 1989 84 1353-1357. 

CIWA-Ar Clinical Institute Withdrawal Assessment for Alcohol-Revised... 

With symptom-triggered therapy, medication is given only if symptoms emerge, resulting in shorter treatment duration, and avoidance of over sedation. A typical regimen would be lorazepam 2 mg administered every hour as needed when a structured assessment scale (e.g., Clinical Institute Withdrawal Assessment-Alcohol, Revised) indicates that symptoms are moderate to severe. Current guidelines recommend such individualized therapy over fixed-schedule therapy. 

CBC, complete blood cell count CIWA-Arf Clinical Institute Withdrawal Assessment for Alcohol, revised D5, dextrose 5% KCI, potassium chloride, NS, normal saline WBC, white blood cell count. 

The Clinical Institute Withdrawal Assessment for Alcohol Scale (CIWA-Ar) is a short and practical ten-item instrument for clinical quantitation of the severity of an alcohol withdrawal syndrome. It can be incorporated into the usual clinical care of patients undergoing alcohol withdrawal and into clinical drug trials of alcohol withdrawal ( Sullivan et al.. 1989). 

Sullivan, J.T., Sykora, K., Schneiderman, J., et ah Assessment of alcohol withdrawal the revised clinical institute withdrawal assessment for alcohol scale (CIWA-Ar). Br. J. Addict. 84111), 1353-1357, 1989. 

---