Medical calculators

CIWA-Ar

Alcohol Withdrawal

For education. Check every result.

Anatium is a study resource, not medical advice. Nothing here is a diagnosis, a prescription or a substitute for a clinician who has seen the patient. Check every number against a current local protocol before it touches anyone, and never act on a result you cannot reproduce yourself.

Nausea and vomiting

Tremor

Paroxysmal sweats

Anxiety

Agitation

Tactile disturbance

Auditory disturbance

Visual disturbance

Headache

Orientation / clouding

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How it is calculated

CIWA-Ar drives symptom-triggered dosing, which uses less benzodiazepine than fixed schedules. It requires a patient who can communicate - it is unreliable in delirium, intubation or a language barrier, and thiamine is given regardless of score.

About

Severity of alcohol withdrawal, used to give benzodiazepines according to symptoms rather than a fixed schedule. Needs a patient who can communicate.

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