Printable Nursing Ciwa Scale. Web tremor arms extended and fingers spread apart no tremor 0 not visible, but can be felt fingertip to fingertip +1 (more severe symptoms) +2 (more severe symptoms) +3 moderate, with patient's arms extended +4. Mild to moderate withdrawal more than 20:
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Mild to moderate withdrawal more than 20: Severe withdrawal indications for prn medication: Scores of 8 to 15 indicate moderate withdrawal (marked autonomic arousal); The maximum score is 67 (see instrument). This assessment for monitoring withdrawal symptoms requires approximately 5 minutes to administer. Web tremor arms extended and fingers spread apart no tremor 0 not visible, but can be felt fingertip to fingertip +1 (more severe symptoms) +2 (more severe symptoms) +3 moderate, with patient's arms extended +4. Scores of less than 8 to 10 indicate minimal to mild withdrawal.
The maximum score is 67 (see instrument). Severe withdrawal indications for prn medication: Web tremor arms extended and fingers spread apart no tremor 0 not visible, but can be felt fingertip to fingertip +1 (more severe symptoms) +2 (more severe symptoms) +3 moderate, with patient's arms extended +4. This assessment for monitoring withdrawal symptoms requires approximately 5 minutes to administer. Scores of less than 8 to 10 indicate minimal to mild withdrawal. The maximum score is 67 (see instrument). Mild to moderate withdrawal more than 20: Scores of 8 to 15 indicate moderate withdrawal (marked autonomic arousal);
