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