Titrating down a CBI?

Specialties Med-Surg

Published

Does anyone have any rules of thumb/tips on how to titrate down a CBI systematically and effectively? We get a lot of TUPRs on the floor I work on presently, and often the doctors write only "wean CBI" as an order to start turning it down. I know I'm observing for clots/flow and hopefully seeing lighter rose to clear returns as time and healing goes on.

My inclination is to turn down the CBI and leave it until it becomes clear again, turn it down more then wait until it clears again, ad etc until its totally clamped off. Is this reasonable or can I be turning the rate down even if the returns are still light rose? I'm just looking for any signs/thinking processes to help me with these.

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