T&A Triage with or without Preoperative Polysomnography Clinical Pathway – Inpatient and Outpatient Specialty Care

Inpatient Discharge Criteria

SPIT

S	Saturation in room air > 90% awake or asleep by pulse oximetry (Exception: cardiac anomaly)
P	Pain adequately managed by oral medication
I	Intake of food and/or liquids appropriate for weight without vomiting. If eating food, liquid intake is of less concern. Patient must either eat half of a normal meal with some fluid intake OR drink the amount below within a 12 hour shift.
T	Taking medication given by parents. Parent demonstrates administration before discharge.

Maintenance Fluids (Minimum Intake)

Used as a guide for both providers and parents to assess how well their patients/child is hydrated post procedure.

Weight	12 hr shift Milliliters	12 hr shift Ounces	Daily Minimum Ounces
8 kg	195 ml	6 1/2 oz	13 oz
10 kg	255 ml	8 1/2 oz	17 oz
15 kg	315 ml	10 1/2 oz	21 oz
20 kg	375 m	12 1/2 oz	25 oz
25 kg	405 ml	13 1/2 oz	27 oz
30 kg	435 ml	14 1/2 oz	29 oz
35 kg	450 ml	15 oz	30 oz
40 kg	480 ml	16 oz	32 oz
45 kg	495 ml	16 1/2 oz	33 oz
50 kg	525 ml	17 1/2 oz	35 oz
55 kg	555 ml	18 1/2 oz	37 oz
60 kg	585 ml	19 1/2 oz	39 oz
65 kg	600 ml	20 oz	40 oz
70 kg	630 ml	21 oz	42 oz
75 kg	645 ml	21 1/2 oz	43 oz
80 kg	675 ml	22 1/2 oz	45 oz
85 kg	705 ml	23 1/2 oz	47 oz
90 kg	720 ml	24 oz	48 oz
95 kg	750 ml	25 oz	50 oz
100 kg	780 ml	26 oz	52 oz

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The clinical pathways are based upon publicly available medical evidence and/or a consensus of medical practitioners at The Children’s Hospital of Philadelphia (“CHOP”) and are current at the time of publication. These clinical pathways are intended to be a guide for practitioners and may need to be adapted for each specific patient based on the practitioner’s professional judgment, consideration of any unique circumstances, the needs of each patient and their family, and/or the availability of various resources at the health care institution where the patient is located.

Accordingly, these clinical pathways are not intended to constitute medical advice or treatment, or to create a doctor-patient relationship between/among The Children’s Hospital of Philadelphia (“CHOP”), its physicians and the individual patients in question. CHOP does not represent or warrant that the clinical pathways are in every respect accurate or complete, or that one or more of them apply to a particular patient or medical condition. CHOP is not responsible for any errors or omissions in the clinical pathways, or for any outcomes a patient might experience where a clinician consulted one or more such pathways in connection with providing care for that patient.