Medsurg nursing : official journal of the Academy of Medical-Surgical Nurses
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Nurses working in the medical-surgical setting routinely care for patients experiencing acute alcohol withdrawal. Symptom-triggered therapy using the revised Clinical Institute Withdrawal Assessment (CIWA-Ar) (Sullivan, Sykora, Schneiderman, Naranjo, & Sellers, 1989) is currently recommended. Scoring patient symptoms using the CIWA-Ar and educating staff nurses are keys to providing consistent management of a patient in acute alcohol withdrawal.
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Chronic obstructive pulmonary disease is one of the most significant chronic illnesses of adults. Comprehensive care of the affected patient requires the medical-surgical nurse to have knowledge of the disease process, collaborative management, and nursing care based on research and current practice guidelines.