Nephrolithiasis Clinical Pathway — Emergency Department
Nephrolithiasis Clinical Pathway — Emergency Department
Discharge with Urology Follow-up in 3-4 Weeks
- Send child home with a urine strainer and instructions and provide prescription for tamsulosin
- For age < 4 years: tamsulosin 0.2 mg/day
- For age > 4 years: tamsulosin 0.4 mg/day
- Children should take pills for 4 weeks or until stone is passed
- SE: Orthostatic hypotension, dizziness
- Helps the ureter relax and stones pass
- Review importance of hydration
- Treat pain, provide prescriptions for:
- Ibuprofen 10 mg/kg PO every 6 hours (maximum dose 600 mg)
- Oxycodone 0.1-0.15 mg/kg PO (maximum dose 5 mg) every 4 hours for 3 days
- Urology within 3-4 weeks with a follow-up RBUS
- Complete web-based CHOP Referral Form
- Family may call the following business day for an appointment