Alcohol withdrawal
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📊 CIWA-Ar Calculator [show]
CIWA-Ar Score
| Category | Select Score |
|---|---|
| Nausea/Vomiting | None (0) Mild nausea (1) Intermittent nausea (4) Constant nausea/dry heaves/vomiting (7) |
| Tremor (arms extended, fingers spread) | 1 None (0) Not visible, can be felt (1) Moderate (4) Severe (7) |
| Paroxysmal Sweats | 1 None (0) Barely perceptible (1) Obvious beads of sweat (4) Drenching sweats (7) |
| Anxiety | 1 None (0) Mildly anxious (1) Moderately anxious (4) Acute panic (7) |
| Agitation | 1 Normal activity (0) Somewhat restless (1) Moderately fidgety (4) Constantly thrashes (7) |
| Tactile Disturbances | 1 None (0) Mild itch/burning/numbness (1) Moderate hallucinations (4) Continuous hallucinations (7) |
| Auditory Disturbances | 1 Not present (0) Mildly harshened (1) Moderate hallucinations (4) Continuous hallucinations (7) |
| Visual Disturbances | 1 Not present (0) Mild sensitivity (1) Moderate hallucinations (4) Continuous hallucinations (7) |
| Headache/Fullness | 1 Not present (0) Very mild (1) Moderate (4) Extremely severe (7) |
| Orientation/Clouding | 1 Oriented (0) Uncertain about date (1) Date uncertain >2 days (2) Disoriented (4) |
| CIWA-Ar Total | / 67 |
| Interpretation | |
|---|---|
| <10 | Mild withdrawal — May not require pharmacotherapy. Monitor with serial CIWA assessments. |
| 10–18 | Moderate withdrawal — Consider benzodiazepine treatment (symptom-triggered protocol). |
| >18 | Severe withdrawal — High risk for seizures/delirium tremens. Aggressive benzodiazepine dosing required. Consider ICU admission. |