WebSociety of General Internal Medicine SGIM Webo LORazepam 2 mg IV/SL/PO every 1 hour PRN for CIWA-Ar score greater than 19 If CIWA-Ar Score 10 to 19 – Moderate agitation - (choose ONE) o diazepam 10 mg IV/PO every 1 hour PRN for CIWA-Ar score 10 to 19 o diazepam 5 mg IV/PO every 1 hour PRN for CIWA-Ar score 10 to 19
ALCOHOL WITHDRAWAL MANAGEMENT PROTOCOL
Webprn • Reassess RASS and CIWA (if able) 1 hr after each dose • If CIWA >15 for 3 consecutive hrs., or pt. requires > 12 mg Lorazepam in 6 hrs., contact Provider for … WebMar 10, 2024 · The CIWA-AR allows physicians to measure the severity of patients’ alcohol withdrawal syndrome, and thus prevent further health complications and treat the withdrawal syndrome accordingly. 1. The CIWA-AR can measure 10 alcohol withdrawal symptoms, including: 1. Agitation (0-7). Anxiety (0-7). Auditory disturbances (0-7). Clouding of … midwest agriculture systems
03. Alcohol Withdrawal Hospital Handbook
WebIf score < 8 for 72 hrs, d/c assessment. If score 8 at any time, go to (b) above. d. If indicated, (see indications below) administer prn medications as ordered and record on MAR and below. Date Time Pulse RR O2 sat BP Assess and rate each of the following (CIWA-Ar Scale): Refer to reverse for detailed instructions in use of the CIWA-Ar scale. WebThis is the total CIWA-Ar score for the patient at that time. Prophylactic medication should be started for any patient with a total CIWA-Ar score of 8 or greater (ie. start on withdrawal medication). If started on scheduled medication, additional PRN medication should be given for a total CIWA-Ar score of 15 or greater. Webacetaminophen 325mg PO q4h PRN headache, mild pain (1-3/10), Check AST/ALT cloNIDine 0.1mg PO q6h PRN autonomic symptoms of withdrawal (diaphoresis, myalgias, cramping, anxiety) hydrOXYzine 50mg PO q4h PRN restless legs x 2 doses rOPINIRole 0.5mg PO nightly PRN restless legs x 2 doses loperamide 4mg PO 3 times daily PRN … new timbiebs