General Questions
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?
The frequency of the CIWA assessment for the first 24 hours, and if CIWA scores return to > 8 after 24 hours.
What is every 2 hours?
CIWA-Ar score is less than or equal 9 categorizes to this value.
What is mild withdrawal?
Physician may order this independent of the CIWA score for high risk patients.
What is a loading dose?
The name of the CIWA order sets.
What is Adult Alcohol-Chemical Dependency Detoxification (CIWA) AND GEN Phenobarbital Alcohol Withdrawal Prevention?
A CIWA score ranging from 10-20.
What is moderate withdrawal?
This assessment is to be completed with every CIWA assessment and often will show the beginning signs of sympathetic dysregulation.
What are vital signs?
The precautions initiated on admission for all CIWA patients.
What are seizure, aspiration and fall precautions?
CIWA score > or equal to 21.
What is severe withdrawal?
A scheduled supplement never to skip for treatment or prevention of wernicke's.
What is thiamine?
Call the doctor.
What is escalating CIWA scores despite medication, CIWA > 30, RASS less than or equal to -1, new onset hallucinations, RR , 10 minute and/or positive delirium screen?
Hallucinating but still oriented, hallucinating not oriented, hallucinating not oriented and paranoid.
What are the stages of severe hallucinations?
This safety assessment is completed with CIWA and 30 mins post CIWA medication.
What is RASS?
Mild, alcoholic hallucinosis and delirium tremens.
What are the 3 stages of alcohol withdrawal that increases mortality if patient progresses beyond alcoholic hallucinosis?