Printable Nursing Ciwa Scale. Mild to moderate withdrawal more than 20: Severe withdrawal indications for prn medication:
Alcohol Withdrawal Syndrome AAFP
Scores of 8 to 15 indicate moderate withdrawal (marked autonomic arousal); This assessment for monitoring withdrawal symptoms requires approximately 5 minutes to administer. Mild to moderate withdrawal more than 20: The maximum score is 67 (see instrument). Scores of less than 8 to 10 indicate minimal to mild withdrawal. Web tremor arms extended and fingers spread apart no tremor 0 not visible, but can be felt fingertip to fingertip +1 (more severe symptoms) +2 (more severe symptoms) +3 moderate, with patient's arms extended +4. Severe withdrawal indications for prn medication:
Scores of less than 8 to 10 indicate minimal to mild withdrawal. Scores of less than 8 to 10 indicate minimal to mild withdrawal. Mild to moderate withdrawal more than 20: Scores of 8 to 15 indicate moderate withdrawal (marked autonomic arousal); Severe withdrawal indications for prn medication: This assessment for monitoring withdrawal symptoms requires approximately 5 minutes to administer. Web tremor arms extended and fingers spread apart no tremor 0 not visible, but can be felt fingertip to fingertip +1 (more severe symptoms) +2 (more severe symptoms) +3 moderate, with patient's arms extended +4. The maximum score is 67 (see instrument).
