Alcohol withdrawal diagnostic criteria: Difference between revisions
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==Diagnosis== | ==Diagnosis== | ||
===Diagnostic Criteria=== | ===Diagnostic Criteria=== | ||
===DSM-V Diagnostic Criteria for Alcohol | ===DSM-V Diagnostic Criteria for Alcohol Withdrawal W<ref name=DSMV>{{cite book | title = Diagnostic and statistical manual of mental disorders : DSM-5 | publisher = American Psychiatric Association | location = Washington, D.C | year = 2013 | isbn = 0890425558 }}</ref>=== | ||
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:*1.Autonomic hyperactivity (e.g., sweating or pulse rate greater than 100 bpm). | :*1.Autonomic hyperactivity (e.g., sweating or pulse rate greater than 100 bpm). | ||
:*2.Increased hand tremor. | :*2.Increased hand tremor. | ||
:*3.Insomnia. | :*3.[[Insomnia]]. | ||
:*4.Nausea or vomiting. | :*4.Nausea or vomiting. | ||
:*5.Transient visual, tactile, or auditory hallucinations or illusions. | :*5.Transient visual, tactile, or [[auditory hallucinations]] or illusions. | ||
:*6.Psychomotor agitation. | :*6.Psychomotor agitation. | ||
:*7.[[Anxiety]]. | :*7.[[Anxiety]]. | ||
Revision as of 13:20, 31 October 2014
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aditya Govindavarjhulla, M.B.B.S. [2]; Kiran Singh, M.D. [3]
Diagnosis
Diagnostic Criteria
DSM-V Diagnostic Criteria for Alcohol Withdrawal W[1]
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AND
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another substance. Specify if: With perceptual disturbances: This specifier applies in the rare instance when hallucinations(usually visual or tactile) occur with intact reality testing, or auditory, visual, |
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Clinical Institute Withdrawal Assessment for Alcohol revised (CIWA-Ar)
The CIWA (Clinical Institute Withdrawal Assessment)[2] is a common measure used in North American hospitals to assess and treat alcohol withdrawal syndrome and for alcohol detoxification. This clinical tool assesses 10 common withdrawal signs.[3] A score of more than 15 points is associated with increased risk of alcohol withdrawal effects such as confusion or seizures.
Other Assessment Scales
- Alcohol Assessment Scale
Level of Evidence
| Assessment Scale | Level of Evidence |
| The Clinical Institute Withdrawal Assessment for Alcohol Revised (CIWA-Ar) | I |
| Alcohol Assessment Scale (AWS) | IV |
References
- ↑ Diagnostic and statistical manual of mental disorders : DSM-5. Washington, D.C: American Psychiatric Association. 2013. ISBN 0890425558.
- ↑ Puz CA, Stokes SJ (2005). "Alcohol withdrawal syndrome: assessment and treatment with the use of the Clinical Institute Withdrawal Assessment for Alcohol-revised". Crit Care Nurs Clin North Am. 17 (3): 297–304. doi:10.1016/j.ccell.2005.04.001. PMID 16115538. Unknown parameter
|month=ignored (help) - ↑ McKay A, Koranda A, Axen D (2004). "Using a symptom-triggered approach to manage patients in acute alcohol withdrawal". Medsurg Nurs. 13 (1): 15–20, 31, quiz 21. PMID 15029927. Unknown parameter
|month=ignored (help)