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Alcohol Withdrawal Syndrome (AWS) - ICU OnePager

Scoring Alcohol Withdrawal Syndrome (AWS):
 • PAWSS
 • CIWA-Ar
 •
Alcohol Withdrawal ... Symptom Timeline ... Symptoms (6-36 ... with normal vital signs ... treatment #management #etoh
Time course of events during the alcohol withdrawal syndrome. 
The signs and symptoms that manifest earliest
withdrawal syndrome ... The signs and symptoms ... #alcohol #withdrawal ... #timeline #deliriumtremens ... #diagnosis #addiction
Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
• Check
• If endorsing withdrawal ... Use Treatment (SHOUT ... Treatment #Management #Addiction ... #Opiate #Start ... #Prescribing #Inpatient
Clinical Opioid Withdrawal Score (COWS)

Resting Pulse Rate: Record beats per minute after patient is sitting or
attributed to opiate ... stool • 0 - no GI symptoms ... Use Treatment (SHOUT ... ) #COWS #Opiate ... Score #Diagnosis #Addiction
Quick Guide: Buprenorphine Initiation Algorithm
Adjunctive meds: 
The following can be prescribed PRN for symptoms of withdrawal
prescribed PRN for symptoms ... hours PRN w/d symptoms ... Treatment #Management #Addiction ... #Opiate #Start ... #Prescribing #Inpatient