Signs of alcohol withdrawal syndrome (anxiety, tachycardia, diaphoresis, hypertension, hallucinations) are the result of an up-regulation of this part of the central nervous system.
What is the sympathetic nervous system?
100
Besides Dietary, Psychiatry, and Social Services, this consult is ordered for the patient in alcohol withdrawal.
What is Addiction Services?
100
A patient is considered in "mild" withdrawal when the CIWA-Ar score is less than or equal to this value.
What is 9?
100
This CIWA-Ar score is considered "moderate" withdrawal.
What is 10-20?
100
This CIWA-Ar score is considered "severe withdrawal."
What is > or = 21?
200
One of the social history triggers to initiate the CIWA-Ar Protocol is knowing that the patient had the last drink within this many hours.
What is 24 hours?
200
This is the criteria that means the CIWA-AR protocol can be discontinued.
What is a CIWA-AR Score < or = to 6 x four consecutive assessments
200
A patient in mild withdrawal in which no medications are indicated should have CIWA-Ar repeated in this number of hours.
What is 4?
200
A patient with no nausea, moderate tremors, beads of forehead sweat, moderate anxiety, mild burning, no auditory/visual disturbances, mild headache, moderately restless has a CIWA-Ar score of this.
What is 18?
200
A patient with no nausea, severe tremors, drenching sweats, severe anxiety, severe tactile and visual hallucinations, no headache, pacing the room, and disoriented to date by more than 2 days would have this score on the CIWA-Ar assessment.
What is 41?
300
This is SCH's preferred drug for patients with severe hepatic insufficiency, severe respiratory insufficiency, aged >65 , head injury.
What is Lorazepam?
300
This intervention would be given for a CIWA-Ar score of < 9.
What is repeat CIWA-Ar in 4 hours?
300
A patient with no nausea, no tremors, moist palms, mild anxiety, no tactile, auditory, visual disturbances, mild headache, and no agitation or disorientation would score this on the CIWA-Ar.
What is 3?
300
According to the SCH CIWA-Ar protocol, a patient with a score of 10-20 may receive 5 mg of this medication q 1 hour IV PRN.
What is diazepam (valium)?
300
A patient with a CIWA-Ar score of 24 may receive 10 mg of this medication IV q 1 hour PRN.
What is diazepam?
400
IV infusion of this nutritional solution may be necessary for the first 24 hours.
What is "banana bag" (i.e. MVI, thiamine, folic acid)?
400
The frequency of patient weights on the patient on CIWA-Ar Protocol.
What is upon admission then once weekly?
400
A patient with no nausea, tremulous fingers, moist palms, mild anxiety, no tactile or auditory disturbances, mild photosensitivity, no headache, moderately restless, oriented x3 would score this on the CIWA-Ar.
What is 8?
400
According to the SCH CIWA-Ar Protocol, a patient with a score of 10-20 with hepatic insufficiency, head injury, or age > or = 65 may receive 2 mg of this medication q 1 hour PO PRN.
What is Lorazepam (Ativan)?
400
A patient with a CIWA-Ar score of 21 whose IV is infiltrated and is uncooperative with PO intake may receive this IM medication and dose q 1 hour PRN.
What is lorazepam 4 mg IM?
500
The acronym CIWA-AR stands for this.
What is Clinical Institute Withdrawal Assessment -Alcohol Revised?
500
Often initiated on confused/agitated patients, patients on CIWA-Ar protocol are placed on this type of precaution to protect their safety.
What is falls precautions?
500
A patient with no nausea, moderate tremors, no sweat, mild anxiety, no tactile/auditory/visual disturbances, no headache, moderately restless, and oriented x3 has a CIWA-Ar score of this.
What is 9?
500
Until withdrawal becomes "mild", each time a benzodiazepine (i.e. diazepam, lorazepam) is administered, the CIWA-Ar assessment should be performed this frequently.
What is every hour.
500
A patient who scores > or = 21 in 3 consecutive assessments should receive this consult.