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UNMH Alcohol Withdrawal Protocol PowerPoint Presentation
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UNMH Alcohol Withdrawal Protocol

UNMH Alcohol Withdrawal Protocol

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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