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Myelomeningocele: Antibiotics
UTI prophylaxis if any hydronephrosis on renal US: Amoxicillin 20 mg/kg/dose enterally once a day. Cephalexin 20 mg/kg/day either once or divided twice a day. If patient is NPO the IV equivalents are...
Troubleshooting Neurosurgical Shunt for Infection
For algorithms related to this topic, please visit our complete list of Clinical Practice Guidelines and Care Process Models. BUTTON: 10/2022 See all algorithms Troubleshooting Neurosurgical Shunt for...
Pharyngitis Images
For Children's Mercy providers: Streptococcal pharyngitis image 1 (tonsils with palatal petechiae) Streptococcal pharyngitis image 2 (palatal petechiae) Streptococcal pharyngitis image 3 (tonsillar...
High Dose Systemic Thrombolysis
tPA 0.1-0.6 mg/kg/hr x6 hrs Adult dosing for pts >16 yrs and > 60 kg: Alteplase 100 mg over 2 hrs IV (if no concurrent anticoagulation therapy). These pathways do not establish a standard of care to...
Shock
Shock is defined as use of vasoactive agents such as: -Epinephrine/norepinephrine, dopamine, dobutamine, milrinone, nitroprusside.
Criteria for Insulin Drip Discontinuation
Discontinue insulin when: Bicarbonate level is ≥17mmol/L. Anion gap is normalized. And/or blood ketones are negative to small. Once the insulin drip is stopped, discontinue D10NS with additives ...
Toddler Tibia Fracture: Evidence Supporting 3rd View
Tenenbein, M., Reed, M. H., & Black, G. B. (1990). The toddler's fracture revisited. The American Journal of Emergency Medicine, 8(3), 208-211. 10.1016/0735-6757(90)90324-s These pathways do not...
Nonviable Tissue
Children’s Mercy obtained permission to use this picture for educational purposes. These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is...
Nadler Lab
About the Team Broadly focused on autism and developmental disabilities, the Nadler lab includes active collaborations with numerous Children’s Mercy (CM) and external investigators as well as...
Helmet Safety - Evidence Based Strategies - October 2022
Sport and recreational activity-related head injuries are a significant cause of traumatic brain injury in the pediatric population, leading to disability or death. Helmet use significantly decreases the...
SSTI: Folliculitis (Images)
For Children's Mercy providers: https://www-visualdx-com.ezproxy.cmh.edu/visualdx/diagnosis/folliculitis?moduleId=103&diagnosisId=51583&lang=en_US#view=text&gid=1&pid=7...
3. Asthma Presentation
Clinical signs and symptoms of asthma can vary between patients and even within the same patient. When well, there may be no signs or symptoms. During an asthma exacerbation, hyperinflation of chest...
Airway Foreign Body
For algorithms related to this topic, please visit our complete list of Clinical Practice Guidelines and Care Process Models. BUTTON: 10/2022 See all algorithms Airway Foreign Body, Suspected...
Febrile Infant: Lumbar Puncture Considerations
There is substantial evidence Inflammatory Markers (IM) are predictive of invasive blood infections including bacterial meningitis. For this age group, the number of meningitis cases in published studies...
Acute Chest Syndrome: Discharge Home
Discharge Home after: Afebrile for ≥ 24 hours Stable labs Stable on room air for ≥ 24 hours Fluids and medications are being taken orally Pain well-controlled on PO medications These pathways do not...
Hypertension Inpatient Medication List
Common medications/substances associated with hypertension:Antipsychotics / Tricyclic Antidepressants, Amphetamines/stimulants, Caffeine, Chemotherapy, and more.
Indications For Hematology Consultation
Indications for Hematology consultation with anticoagulant therapy: Initiation of therapy for patients: Not in critical care unit. Age < 30 days. Baseline INR ≥ 1.2 prior to initiation of warfarin.
Indications For Hematology Consultation
Indications for Hematology consultation with anticoagulant therapy: Initiation of therapy for patients: Not in critical care unit Age < 30 days Baseline INR ≥ 1.2 prior to initiation of warfarin Impaired...
Glucocorticosteroids
In the pediatric patient diagnosed with a refractory migraine, is glucocorticosteriods an effective treatment for the prevention of migraine relapse (return to ED or provider for relapse of the same...