Alcohol withdrawal diagnostic criteria: Difference between revisions
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*B.Two (or more) of the following, developing within several hours to a few days after the cessation of (or reduction in) alcohol use described in Criterion A: | *B.Two (or more) of the following, developing within several hours to a few days after the cessation of (or reduction in) alcohol use described in Criterion A: | ||
:*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 | :*2.Increased hand tremor. | ||
:*3.[[Insomnia]]. | :*3.[[Insomnia]]. | ||
:*4. | :*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]]. | ||
:*8. | :*8.Generalized tonic-clonic seizures. | ||
'''''AND''''' | '''''AND''''' | ||
Revision as of 17:45, 31 October 2014
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For patient information click here.
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]
{{cquote|
- A.Cessation of (or reduction in) alcohol use that has been heavy and prolonged.
AND
- B.Two (or more) of the following, developing within several hours to a few days after the cessation of (or reduction in) alcohol use described in Criterion A:
- 1.Autonomic hyperactivity (e.g., sweating or pulse rate greater than 100 bpm).
- 2.Increased hand tremor.
- 3.Insomnia.
- 4.Nausea or [[vomiting.
- 5.Transient visual, tactile, or auditory hallucinations or illusions.
- 6.Psychomotor agitation.
- 7.Anxiety.
- 8.Generalized tonic-clonic seizures.
AND
- C.The signs or symptoms in Criterion B cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
AND
- D.The signs or symptoms are not attributable to another medical condition and are not better explained by another mental disorder, including intoxication or withdrawal from
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,
}}
References
- ↑ Diagnostic and statistical manual of mental disorders : DSM-5. Washington, D.C: American Psychiatric Association. 2013. ISBN 0890425558.
Clinical Institute Withdrawal Assessment for Alcohol revised (CIWA-Ar)
The CIWA (Clinical Institute Withdrawal Assessment)[1] 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.[2] 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
- ↑ 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)