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Initiation, Maintenance and Duration of Therapy
This clinical pathway is not intended for patients on ECMO, cardiac bypass pump, hemodialysis or continuous renal replacement therapy. Refer to specific guidelines for these situations. Initiation of...
Vancomycin Clinical Pathway
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...
Inducible Laryngeal Obstruction (ILO), Vocal Cord Dysfunction (VCD)
Inducible laryngeal obstruction is an inappropriate, transient, reversible narrowing of the larynx to external or internal triggers. The true vocal folds, false vocal folds or supraglottic tissue can...
Cleft Palate Repair ERAS
Enhanced Recovery After Surgery (ERAS) pathways promote an evidence based, multidisciplinary approach to patient care aimed at facilitating faster recovery from surgery, decreasing hospital length of stay...
Fast Facts
Warfarin is generally started on day 1 or 2 of heparin or low molecular weight heparin (LMWH) therapy. Heparin or LMWH administration should overlap with warfarin for a minimum of 6 days and until INR (
Education
Children's Mercy inpatients: Direct patient education on LMWH will be provided and documented by Children's Mercy pharmacists for Children's Mercy inpatients. Education will include potential for...
Atopic Dermatitis: Infected - Eczema Coxsackium
Rapid spreading of painful vesicles quickly turning into erosions. Typically in areas of previous eczema involvement. Often follows seasonal presentations. Associated features: Perioral...
Discharge
Can the patient be discharged? After each medication intervention the patient should be assessed to determine if the patient meets the following discharge criteria: Headache pain score ≤3 or decrease...
Loxoscelism - Evidence Based Strategies - September 2022
Bites from the brown recluse spider, Loxosceles reclusa, can lead to severe complications and can even be life-threatening. The constellation of systemic symptoms, known as loxoscelism, can be tricky to...
Sumatriptan
In the pediatric patient diagnosed with refractory migraine is sumatriptan an effective treatment for refractory migraine in the ED? Plain language summary from the office of evidence based practice: Based...
Herpes Simplex Virus
HSV is a rare but significant cause of disease among neonates occurring in an estimated 1 in 3200 births. Neonatal HSV infection manifests in three ways, 1) disseminated, 2)central nervous system (CNS) or...
Autism and/or Developmental Delay Care Process Model
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...
Bronchiolitis Family Engagement Education
Outpatient information Bronchiolitis Family Engagement: In the outpatient setting (PDF) Participación Familiar de Pacientes con Bronquiolitis: En el entorno ambulatorio (PDF) Inpatient...
ERCP - State-of-the-Art Pediatrics - September 2022
ERCP (endoscopic retrograde cholangiopancreatography) can be safely performed by an appropriately trained pediatric gastroenterologist in a pediatric facility for the diagnosis and treatment of biliary and...
Patient Education
Do NOT switch manufacturers of warfarin. Children's Mercy inpatients: Direct patient education on warfarin will be provided by Children's Mercy pharmacists for Children's Mercy inpatients. Education...
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...
Fast Facts
This pathway is intended for the use of heparin for therapeutic (not prophylactic) indications. This pathway is not intended for heparin use to maintain patency of arterial or central venous catheters or...
Potential Drug Interactions
Drug interactions with warfarin may occur via several mechanisms, including impairment of absorption, induction or inhibition of metabolism, competition for protein-binding sites, and platelet inhibition.
Autism and/or Developmental Delay: Finding Best Fit Developmental Diagnostic Center
Finding the best fit developmental diagnostic center: Geography. It is almost always ideal for families to receive their diagnostic service locally, with a preference for staying in-state. This supports...
Warfarin Antidotes
Antidotes: Vitamin K (phytonadione) Kcentra FFP (fresh frozen plasma) Choice and dose is dependent on the clinical problem, no bleeding vs. significant bleeding, and need for future warfarin therapy. If...