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CIWA-Ar Clinical Institute Withdrawal Assessment for Alcohol scale

 
The EBMcalc module CIWA-Ar Clinical Institute Withdrawal Assessment for Alcohol scale is available in EBMcalc Complete Edition.
 

 
This calculator evaluates the following Clinical Criteria:

• NAUSEA AND VOMITING: Ask "Do you feel sick to your stomach? Have you vomited?" Observation.
• TREMOR: Arms extended and fingers spread apart. Observation.
• PAROXYSMAL SWEATS: Observation.
• ANXIETY: Ask "Do you feel nervous?" Observation.
• AGITATION: Observation.
• TACTILE DISTURBANCES: Ask "Have you any itching, pins and needles sensations, burning sensations, numbness or do you feel bugs crawling on or under your skin?" Observation.
• AUDITORY DISTURBANCES: Ask "Are you more aware of sounds around you? Are they harsh? Do they frighten you? Are you hearing anything that is disturbing to you? Are you hearing things you know are not there?" Observation.
• VISUAL DISTURBANCES: Ask "Does the light appear to be too bright? Is its color different? Does it hurt your eyes? Are you seeing anything that is disturbing to you? Are you seeing things you know are not there?" Observation.
• HEADACHE, FULLNESS IN HEAD: Ask "Does your head feel different? Does it feel as if there is a band around your head?" Do not rate for dizziness or lightheadedness. Otherwise, rate severity.
• ORIENTATION AND CLOUDING OF SENSORIUM: Ask "What day is this? Where are you? Who am I?" Count forward by three.