CIWA-Ar Assessment: Marcus Rivera
CIWA Score: Clinical Decision Making
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Rivera, Marcus | ICU Day 2
Age: 35 Dx: Alcohol withdrawal Prior withdrawal + seizure hx
MedChart EHR | CIWA-Ar Assessment | 0715
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 #?
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