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Electrolyte Management
METABOLIC ABNORMALITY DEFINITION MANAGEMENT Hyperkalemia (Moderate and asymptomatic) K between 6 – 7 mEq/L Restrict K intake. EKG and cardiac monitoring. If tolerating oral intake, administer potassium...
Autism and/or Developmental Delay: AAP Guidelines
AAP Clinical Report – Autism Spectrum Disorder: https://pediatrics.aappublications.org/content/145/1/e20193447 AAP Developmental Surveillance and Screening Guidelines...
Myelomeningocele: Clean Intermittent Catheterization (CIC)
After 24 hours of life, check post void residuals. To check post void residual, perform clean intermittent catheterization immediately after wet diaper. If post void residual is consistently above 20 ml...
Obstructive Sleep Apnea and Asthma
CM resources on weight management clinics Nocturnal asthma can be affected by many contributors including rhinitis, sinusitis, GER, obstructive sleep apnea (OSA), nocturnal allergen exposures (e.g. dust...
Hypoglycemia Therapy
For patients on insulin drip: If blood glucose drops between 80 to 99 mg/dL decrease IV insulin to 0.05units/kg/hour and contact the Supervising Physician. If blood glucose drops < 80 mg/dL stop IV...
IV Fluids
Insertion of intravenous catheter for rehydration purposes: Normal Saline 20 mL/kg (maximum of 1 liter). Level of evidence: 5 (Consensus) These pathways do not establish a standard of care to be followed...
Rasburicase Administration Considerations
Administration of rasburicase beyond 5 days is not recommended by the manufacturer. In fact, a single dose of rasburicase has been shown to rapidly reduced hyperuricemia and multiple doses are rarely...
Diabetic Ketoacidosis (DKA)
Clinical Pathways promote evidence based, safe, and high-value care for patients by providing clinical recommendations and standard processes. They are developed by multidisciplinary committees of subject...
What's the Diagnosis - September 2022
A 3-year-old male is directly admitted to the hospitalist service for evaluation and management of an elevated lead level. Patient initially had a lead level of 58. Four weeks later, his level was 128...
COVID-19 Resources
The Children’s Mercy Bioethics Center has collected resources addressing some of the ethical issues that we've encountered during the COVID-19 pandemic. We would like to share this information with you...
Arrange a Critical Care Transport
In accordance with providing the very best care possible for every child, Children's Mercy Kansas City believes that specialized care during transport can make a tremendous difference.
Growth Failure
Recommendations for pediatricians regarding diagnosis, management, and when to refer to a Children's Mercy specialist.
What's the Diagnosis? January 2021
A previously healthy, 12-month-old female presents with a rash. Parents first noticed red papules and vesicles on her trunk two days ago which have now spread in a clustered pattern to her face, back and...
Clínica Hispana de Cuidados de Salud (CHiCoS)
Clínica Hispana de Cuidados de Salud (CHiCoS) is a culture and language coaching program for bilingual pediatric residents aiming to become professionally qualified providers of Spanish-language care.
Adelante Kansas City
Adelante Kansas City is an innovative culture and language coaching program for mental and behavioral health care providers. The name Adelante, a Spanish word meaning, “forward,” “ahead,” or “onward,”
Order a Diagnostic Test for Pathology & Laboratory Medicine
Order a Diagnostic Test for Pathology & Laboratory Medicine.
Wise Use of Antibiotics March 2021
I recently watched an episode of 20/20 featuring children who developed OCD, outbursts and tantrums, seizures, catatonia, and paranoia following a diagnosis of streptococcal pharyngitis. Some of the...
Outreach and Education
Children's Mercy Critical Care Transport provides outreach education for community clinic and hospital nurses, EMS and fire personnel in conjunction with our Trauma Services and Neonatal Outreach...
Contact the Critical Care Transport Team
Transport business office/crew's quarters transport@cmh.edu (816) 234-3166 Transport staff Timothy Bennett, MD Medical Director, Maternal Fetal Transport tlbennett@cmh.edu (816) 234-9337 Christy...
Ethics Committee Brown Bag Workshop Schedule
Time: 12:00 - 1:00 p.m. Date/Location Title of Presentation Presenter(s) January 9, 2024 Tuesday Microsoft Teams Can You Keep a Secret? The Ethics Behind Pediatric Truth-Telling and Veracity Sunny Jeong...