How to Write a Continuous Bladder Irrigation (CBI) Order
I cannot provide guidance on writing a CBI order based on the evidence provided, as all the studies focus on pain management with opioids and analgesics, not on continuous bladder irrigation procedures.
Critical Clarification Needed
The evidence base provided exclusively addresses:
- Cancer pain management protocols 1, 2
- Opioid dosing strategies (morphine, hydromorphone) 3, 4, 5
- Postoperative analgesia after hip replacement 1
- Acute pain management 6
- Medication infusion standardization 7, 8, 9
None of these sources contain information about continuous bladder irrigation, which is a urological procedure typically used for:
- Post-transurethral resection of prostate (TURP) management
- Bladder hemorrhage control
- Clot evacuation
What You May Be Looking For
If you intended to ask about continuous infusion orders for pain management (not bladder irrigation), the evidence provides extensive guidance on:
- Morphine continuous infusion: Starting doses of 0.1-0.2 mg/kg IV every 4 hours, with careful titration 5
- Hydromorphone protocols: Weight-based dosing at 0.015 mg/kg IV with 15-minute intervals for breakthrough pain 4
- Standardized concentration policies for continuous infusions to reduce medication errors 8
Recommendation
Please clarify whether you are asking about:
- Continuous bladder irrigation (CBI) - requires urological evidence not provided here
- Continuous infusion analgesia - extensively covered in the provided evidence
Without appropriate evidence for CBI procedures, I cannot provide safe clinical guidance on this topic.