Monitoring (with no medication)
Monitor the patient by administering the CIWA-Ar (see Figure 1) every 4 to 8 hours until the score has been lower than 8 to 10 points for 24 hours.
Perform additional assessments as needed.
Symptom-triggered regimens
Administer the CIWA-Ar every hour to assess the patient’s need for medication.
Administer one of the following medications every hour when the CIWA-Ar score is at least 8 to 10 points:
	Chlordiazepoxide (Librium), 50 to 100 mg
	Diazepam (Valium), 10 to 20 mg
	Lorazepam (Ativan), 2 to 4 mg
Fixed-schedule regimen
Administer one of the following medications every 6 hours:
	Chlordiazepoxide, four doses of 50 mg, then eight doses of 25 mg
	Diazepam, four doses of 10 mg, then eight doses of 5 mg
	Lorazepam, four doses of 2 mg, then eight doses of 1 mg
Provide additional medication as needed when symptoms are not controlled (i.e., the CIWA-Ar score remains at least 8 to 10 points).