Widget:Alcohol Withdrawal Calc: Difference between revisions
Jump to navigation
Jump to search
Matt Pijoan (talk | contribs) No edit summary |
Matt Pijoan (talk | contribs) No edit summary |
||
| Line 14: | Line 14: | ||
</script> | </script> | ||
<form name="AWCalc"> | <form name="AWCalc"> | ||
Nausea and Vomitting | Nausea and Vomitting<br /> | ||
<input type="radio" name="q1" value="0" /> No nausea or vomiting<br /> | <input type="radio" name="q1" value="0" /> No nausea or vomiting<br /> | ||
<input type="radio" name="q1" value="1" /> <br /> | <input type="radio" name="q1" value="1" /> <br /> | ||
| Line 24: | Line 24: | ||
<input type="radio" name="q1" value="7" /> Constant nausea, frequent dry heaves and vomiting<br /> | <input type="radio" name="q1" value="7" /> Constant nausea, frequent dry heaves and vomiting<br /> | ||
<br /> | <br /> | ||
Paroxysmal Sweats | Paroxysmal Sweats<br /> | ||
<input type="radio" name="q2" value="0" /> No sweats visible<br /> | <input type="radio" name="q2" value="0" /> No sweats visible<br /> | ||
<input type="radio" name="q2" value="1" /> Barely perceptible sweat, palms moist<br /> | <input type="radio" name="q2" value="1" /> Barely perceptible sweat, palms moist<br /> | ||
| Line 34: | Line 34: | ||
<input type="radio" name="q2" value="7" /> Drenching sweats<br /> | <input type="radio" name="q2" value="7" /> Drenching sweats<br /> | ||
<br /> | <br /> | ||
Agitation | Agitation<br /> | ||
<input type="radio" name="q3" value="0" /> Normal activity<br /> | <input type="radio" name="q3" value="0" /> Normal activity<br /> | ||
<input type="radio" name="q3" value="1" /> Somewhat more than normal activity<br /> | <input type="radio" name="q3" value="1" /> Somewhat more than normal activity<br /> | ||
| Line 54: | Line 54: | ||
<input type="radio" name="q4" value="7" /> Continuous visual hallucinations<br /> | <input type="radio" name="q4" value="7" /> Continuous visual hallucinations<br /> | ||
<br /> | <br /> | ||
Tremor | Tremor<br /> | ||
<input type="radio" name="q5" value="0" /> No tremor<br /> | <input type="radio" name="q5" value="0" /> No tremor<br /> | ||
<input type="radio" name="q5" value="1" /> Not visible, but can be felt at finger tips<br /> | <input type="radio" name="q5" value="1" /> Not visible, but can be felt at finger tips<br /> | ||
| Line 64: | Line 64: | ||
<input type="radio" name="q5" value="7" /> Severe, even with arms not extended<br /> | <input type="radio" name="q5" value="7" /> Severe, even with arms not extended<br /> | ||
<br /> | <br /> | ||
Tactile Disturbances | Tactile Disturbances<br /> | ||
<input type="radio" name="q6" value="0" /> Not present<br /> | <input type="radio" name="q6" value="0" /> Not present<br /> | ||
<input type="radio" name="q6" value="1" /> Very mild paraesthesias<br /> | <input type="radio" name="q6" value="1" /> Very mild paraesthesias<br /> | ||
| Line 74: | Line 74: | ||
<input type="radio" name="q6" value="7" /> Continuous paraesthesias<br /> | <input type="radio" name="q6" value="7" /> Continuous paraesthesias<br /> | ||
<br /> | <br /> | ||
Headache | Headache<br /> | ||
<input type="radio" name="q7" value="0" /> Not present<br /> | <input type="radio" name="q7" value="0" /> Not present<br /> | ||
<input type="radio" name="q7" value="1" /> Very mild<br /> | <input type="radio" name="q7" value="1" /> Very mild<br /> | ||
| Line 84: | Line 84: | ||
<input type="radio" name="q7" value="7" /> Extremely severe<br /> | <input type="radio" name="q7" value="7" /> Extremely severe<br /> | ||
<br /> | <br /> | ||
Auditory Disturbances | Auditory Disturbances<br /> | ||
<input type="radio" name="q8" value="0" /> Not present<br /> | <input type="radio" name="q8" value="0" /> Not present<br /> | ||
<input type="radio" name="q8" value="1" /> Very mild harshness or ability to frighten<br /> | <input type="radio" name="q8" value="1" /> Very mild harshness or ability to frighten<br /> | ||
| Line 94: | Line 94: | ||
<input type="radio" name="q8" value="7" /> Continuous hallucinations<br /> | <input type="radio" name="q8" value="7" /> Continuous hallucinations<br /> | ||
<br /> | <br /> | ||
Orientation and Clouding of the Sensorium | Orientation and Clouding of the Sensorium<br /> | ||
<input type="radio" name="q8" value="0" /> Oriented and can do serial additions<br /> | <input type="radio" name="q8" value="0" /> Oriented and can do serial additions<br /> | ||
<input type="radio" name="q8" value="1" /> Cannot do serial additions<br /> | <input type="radio" name="q8" value="1" /> Cannot do serial additions<br /> | ||