Alcohol withdrawal diagnostic criteria: Difference between revisions
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'''For patient information click [[Alcohol withdrawal (patient information)|here]].''' | '''For patient information click [[Alcohol withdrawal (patient information)|here]].''' | ||
Revision as of 19:41, 20 February 2014
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Resident Survival Guide |
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Alcohol Withdrawal Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Alcohol withdrawal diagnostic criteria On the Web |
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American Roentgen Ray Society Images of Alcohol withdrawal diagnostic criteria |
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Risk calculators and risk factors for Alcohol withdrawal diagnostic criteria |
For patient information click here.
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Diagnosis
Criteria
- History of cessation or reduction in heavy and prolonged alcohol use.
- 2 or more of:
- Autonomic hypereactivity
- Hand tremor
- Insomnia
- Nausea and vomiting
- Visual or auditory hallucinations
- Psychomotor agitation
- Anxiety
- Grand mal seizures
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 |
Alcohol Withdrawal Calculator
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)