When is it considered safe to discharge a child after a respiratory illness?

Discharging a child after a respiratory illness is primarily based on their stability and the ability to maintain adequate oxygenation. This ensures that the child can safely return home without the risk of exacerbation of their condition.

Stability indicates that vital signs are within normal ranges, the child is alert and responsive, and they do not exhibit signs of respiratory distress. Adequate oxygenation means that the child’s oxygen levels are satisfactory, generally assessed through pulse oximetry. If these parameters are met, it signifies that the child's respiratory condition has improved sufficiently to warrant discharge.

While showing no symptoms of illness, maintaining hydration, and completing antibiotics are important factors in the overall recovery process, they are not the sole determinants for discharge. A child may show some residual symptoms or have a mild illness that does not require further intervention, and they may still be stable and oxygenated. Therefore, focusing on stability and oxygenation is critical for ensuring safety upon discharge.