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UNMH Alcohol Withdrawal Protocol

UNMH Alcohol Withdrawal Protocol Based on and adapted from alcohol withdrawal protocol at Bayfront Medical Center CriticalCareNurse Vol 30, No. 3, June 2010. CIWA is replacing CAGE. Clinical Institute Withdrawal Assessment of Alcohol Validated in many other centers

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UNMH Alcohol Withdrawal Protocol

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  1. UNMH Alcohol Withdrawal Protocol Based on and adapted from alcohol withdrawal protocol at Bayfront Medical Center CriticalCareNurse Vol 30, No. 3, June 2010

  2. CIWA is replacing CAGE • Clinical Institute Withdrawal Assessment of Alcohol • Validated in many other centers • Multidisciplinary team developed the current protocol • Pharmacy, Neuro, Critical Care, Nursing • Trialed in MICU with good results • Modified from the current VA protocol as well • Low intensity vs. High intensity

  3. How to order • Adult Alcohol Withdrawal Protocol-CIWA • Pick dosing and pre-check all meds under the category • Dose adjustment: >65 yo, Child’s B/C cirrhosis, severe neuro injury, pregnancy • Uses ativan only • OR NO dose adjustment • Uses librium (or ativan if not taking po) • Nurses do the rest with scoring and dosing of the meds

  4. CIWA Scoring

  5. Benzodiazepines Comparison

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