CIWA is an acronym for "Clinical Institute Withdrawal Assessment Protocols for Alcohol, Sedative, and /or Hypnotic Drugs"
The CIWA Protocol is an attempt to assess an individual's withdrawal from physically addictive substances by assigning a numerical score to each of several physical signs and symptoms, such as
- Nausea & Vomiting
- Tactile, Auditory, and Visual Disturbances Agitation
- Orientation Headache, as well as measurement of
- Blood Pressure and
- Heart Rate
Administration and dosage of drugs (such as benzodiazepines) to treat withdrawal is subsequently based on the patient score, determined at periodic intervals.
A CIWA Protocol summary sheet is available on each Nursing Station; a copy of the assessment is kept in the chart of each patient undergoing withdrawal therapy.
For more Information see MMC Policies and Procedures Manual