CIWA-ArMax score 67. No Rx for score under 10Loading...Nausea, VomitingNo N, no V0Mild N, no V+1Intermittent N, dry heaves+4Constant N, frequent dry heaves,V+7TremorNo tremor0Not visible, can be felt+1Moderate with arms extended+4Severe+7Paroxysm SweatsNo sweat visible0Barely perceptible,palms moist+1Obvious sweat on forehead+4Drenching sweats+7AnxietyNo anxiety, at ease0Mildly anxious+1Moderately anxious or guarded+4As in acute panic+7AgitationNormal activity0Somewhat more than normal+1Moderately fidgety and restless+4Constant pacing or thrashing+7Tactile DisturbNone0Very mild+1Mild+2Moderate+3Moderately severe hallucinations+4Severe hallucinations+5Extremely severe hallucinations+6Continuous hallucinations+7Auditory DisturbNone0Very mild+1Mild+2Moderate+3Moderately severe hallucinations+4Severe hallucinations+5Extremely severe hallucinations+6Continuous hallucinations+7Visual DisturbNone0Very mild+1Mild+2Moderate+3Moderately severe hallucinations+4Severe hallucinations+5Extremely severe hallucinations+6Continuous hallucinations+7HA, FullnessNot present0Very mild+1Mild+2Moderate+3Moderately severe+4Severe+5Very severe+6Extremely severe+7Orientation, SensoriumOriented, can add serially0Uncertain about date or cannot add+1Date wrong by no more than 2 days+2Date wrong by more than 2 days+3Disoriented for place or person+4适用指征洞见与注意事项