For PAWWS (> or = 4) or CIWA (> or = 9) CIWA PROTOCOL CIWA - AR ATIVAN DOSAGE Severity Score PO IV Monitoring Documentation Mild 0-8 None Monitor every H until CIWA-Ar less than or equal to 8 x 4H consecutively, then every 4 hours Document CIWA QH until CIWA is < or = 8 x 4H, then Q4H. Document RASS prior to any dose administration. Moderate 9-15 2mg or ____mg Monitor every 30 minutes per CIWA–Ar until CIWA–Ar is less than or equal to 8 Document CIWA every 30 minutes until CIWA < or = 8. Severe Greater than 15 4mg or ____mg Monitor every 15 minutes per CIWA–Ar until CIWA–Ar is less than or equal to 15 Document CIWA every 15 minutes until CIWA < or = 15. CIWA - AR PHENOBARBITAL DOSAGE For PAWWS (> or = 4) or CIWA (> or = 9) Severity Score PO IV Monitoring Documentation Mild 0-8 None Monitor every H until CIWA-Ar less than or equal to 8 x 4H consecutively, then every 4 hours Document CIWA QH until CIWA is < or = 8 x 4H, then Q4H. Document RASS prior to any dose administration. Moderate 9-15 130mg IV (Notify MD if 4 doses of 130mg are given) Monitor every 30 minutes per CIWA–Ar until CIWA–Ar is less than or equal to 8 Document CIWA every 30 minutes until CIWA < or = 8. Severe Greater than 15 Monitor every 15 minutes per CIWA–Ar until CIWA–Ar is less than or equal to 15 Document CIWA every 15 minutes until CIWA < or = 15. If patient was transferred to the floor and PAWWS becomes (> or = 4) or CIWA (> or = 9) and no loading dose was originally given, ok to give a bolus of 260mg IV x 1, then continue with symptom triggered dosing per table (dilute in 10ml NS and push over 2-3 min per MAR instructions). Discontinue CIWA-Ar assessment when CIWA-Ar is less than 8 for 72 Hours