Printable Nursing Ciwa Scale. 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.
Alcohol Withdrawal Syndrome AAFP
Scores of 8 to 15 indicate moderate withdrawal (marked autonomic arousal); Scores of less than 8 to 10 indicate minimal to mild withdrawal. Mild to moderate withdrawal more than 20: This assessment for monitoring withdrawal symptoms requires approximately 5 minutes to administer. The maximum score is 67 (see instrument). 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:
This assessment for monitoring withdrawal symptoms requires approximately 5 minutes to administer. Severe withdrawal indications for prn medication: The maximum score is 67 (see instrument). 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. Scores of 8 to 15 indicate moderate withdrawal (marked autonomic arousal); This assessment for monitoring withdrawal symptoms requires approximately 5 minutes to administer. Scores of less than 8 to 10 indicate minimal to mild withdrawal. Mild to moderate withdrawal more than 20:
