Search Results
Your search returned 5030 results
Patient is Suspected to Have TLS
Patients may present with metabolic derangements along (laboratory TLS) or both laboratory and clinical sequalae. Laboratory TLS (LTLS): Level above or below normal limits for age for 2 or more of the...
AOM - Special Considerations
Patients with anatomic/craniofacial abnormalities or cochlear implants are not candidates for “watchful waiting.” Recommend 10 days of antimicrobial treatment. Patients with immunodeficiencies may be at...
AOM – Otitis Externa
Otitis externa (“swimmer’s ear”) is inflammation of the external ear canal leading to severe otalgia and tenderness to palpation. Erythema, edema, drainage, and pruritis may be present. It is often preceded...
AOM – Role for Oral Cephalosporins
The AOM guidelines from the American Academy of Pediatrics include enteral second and third generation cephalosporins, including cefdinir and cefpodoxime, as alternative agents for initial treatment of...
Bylaws
Membership Members must: Currently be a patient at Children's Mercy. Be 13-18 years old. *Members may be older if they are still a patient at Children’s Mercy. Attend at least 40% of meetings and...
Neonatology
When your newborn needs advanced care, trust the neonatology team at Children’s Mercy to provide the highest level of care in the region. With the region’s only top-level (Level IV) NICU and partnerships...
Select Studies
Children’s Mercy Research Institute advances pediatric health through integrated, collaborative studies and clinical trials aimed at bringing the fruits of scientific discovery right to a child’s bedside.
Biliary Atresia and Liver Transplant: Lacie’s Story
Meet Lacie Photo: Lacie with car Lacie’s Children’s Mercy story began in late November 2007 when she was only three days old. Lacie’s parents, Sarah and Corey, had known that Lacie’s birth was going to be...
Severe Penicillin Allergy
Avoid cephalexin due to same side-chain as penicillin. Other cephalosporins may be tolerated: Ceftriaxone: Cystitis or pyelonephritis: 50 mg/kg/dose IV or IM q24h (max: 2000 mg/dose). OR Cefixime: 8 mg/kg PO...
2. Asthma Diagnosis
The diagnosis of asthma is clinical. Asthma is defined by: Chronic recurrent respiratory symptoms (coughing, wheezing, chest tightness, shortness of breath) Variable airflow limitation (evidenced in...
13. Special Asthma Considerations for Inpatient
Patients who present with status asthmaticus that meet admission criteria are admitted to the General Pediatrics service. Both an Asthma Exacerbation clinical practice guideline and a powerplan are...
15. Respiratory Support for Asthma Exacerbation
Oxygen Support Oxygen can be provided through several modalities; an overview is provided below. Nasal Cannula (NC) Nasal cannula is a low flow set up. Flow range: 1/32 LPM to 4 LPM using oxygen from the...
LMW Heparin Antidote
Antidote: Termination of the subcutaneous injection generally will terminate the anticoagulant effect. If immediate reversal is required protamine sulfate will result in partial neutralization. If the...
Heparin Antidote
Termination of the IV infusion generally will terminate the anticoagulant effect. If immediate reversal is required protamine sulfate will result in neutralization of heparin. The dose of protamine...
Initiation of Therapy Days 1-4
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 is...
Discharge Recommendations and Follow-up
If the patient meets the discharge criteria, discharge after providing the patient with the discharge information. The Headache Action Plan may be helpful in creating a discharge plan. The patient...
Patient's Pain
Is the patient's pain assessed to be >3? Assess the patient's comfort level using an age and developmentally appropriate pain scale. Children's Mercy Kansas City uses the following pain...
Case Definition for Multisystem Inflammatory Syndrome in Children (MIS-C)
If you are concerned you may have a patient with MIS-C, please consult ID. An individual aged <21 years presenting with feveri, laboratory evidence of inflammationii, and evidence of clinically severe...
ADHD Patient / Caregiver Resources
National resources: CDC CHADD Understood.org Local resources: CHADD Local Chapter (ADHDKC) Behavioral Parent Training Groups: Understanding and Managing ADHD (CMH) ADHD Services (CMH) Lift up KC...
Low Dose Systemic Thrombolysis
tPA 0.03-0.06 mg/kg/hr x 24 hours (max hourly dose 2 mg/hr) If on heparin: decrease heparin dose to 5-10 units/kg/hr. If on direct thrombin inhibitor (DTI) decrease rate by 50%. Heparin and/or DTI lab...