CIWA Score: Clinical Decision Making
?
Rivera, Marcus | ICU Day 2
EHR: CIWA-Ar Assessment Result
Assessed by
M. Torres, RN (Preceptor)
Next reassessment due
0915
25
Total CIWA-Ar Score
Question 1 of 4
A CIWA-Ar score of 25 indicates that Marcus is experiencing:
Question 2 of 4
Your preceptor hands you the Ativan sliding scale order. Based on Marcus's score, what should you administer?
| CIWA-Ar Score | Action |
|---|---|
| Less than 8 | Monitor only, no medication needed |
| 8 to 15 | Lorazepam 1mg IV, reassess in 4 hours |
| 16 to 24 | Lorazepam 2mg IV, reassess in 2 hours |
| 25 or higher | Lorazepam 4mg IV, reassess in 1 hour |
Question 3 of 4
Based on the sliding scale, how soon must you reassess the CIWA-Ar after giving the medication?
Question 4 of 4
Given Marcus's score of 25 and his prior seizure history, which safety measures are your priority right now? Select all that apply.
Marcus needs Ativan now.
You go to the med cart to get the medication. It is locked. Take the next card.
Take card #?
?