Clinical Institute Withdrawal Assessment for Alcohol

AKA: CIWA

A scoring system that tracks the severity of alcohol withdrawal.

In the context of addiction treatment:
Used to safely manage withdrawal and prevent complications like seizures and delirium tremens.

What to know:

  • High CIWA scores mean the person may need more intensive monitoring and medication.

  • Vital signs and symptoms like tremors, agitation, and hallucinations are part of the score.

Example:
In detox, staff use CIWA scores to decide when to give another benzodiazepine dose for alcohol withdrawal.

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