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Prochlorperazine With or Without diphenhydrAMINE

In the pediatric patient diagnosed with a refractory migraine, is prochlorperazine an effective treatment compared to ketorolac, metoclopramide, sodium valproate, IV magnesium? Plain language summary from...

Decrease Environmental Stimuli

Minimization of environmental stimuli no: Bright lights. Strong smells. Excessive loud noises. Cell phone/text message usage in room. Television usage. Keep patient door closed. Minimal visitation. Level...

Myelomeningocele: MRI and Renal Ultrasound

Infant may be on back and swaddled for MRI. Protect large lesion with donut as needed. These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is...

Myelomeningocele: Recommendation if Born at Outside Hospital Post-natal Repair

Immediate transfer to Children's Mercy. Post-natal repair care: Keep moist with saline gauze. Cover with Tegaderm®. These pathways do not establish a standard of care to be followed in every case.

Catheter Directed Thrombolysis

tPA 0.1-0.3 mg/kg (max dose 10 mg) bolus followed by 0.01-0.03 mg/kg/hr (max 2 mg/hr) x 24-72 hrs. Administer heparin at 10 units/kg/hr or decrease direct thrombin inhibitor rate by 50%. These pathways do...

Insulin Drip

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 Insulin Drip...

Cerebral Edema Therapy

Those at increased risk include younger age (<5 y/o), new onset diabetes, and longer duration of symptoms. Additional risk factors at diagnosis or during treatment include - more severe acidosis or very...

AOM – Mild Bulging of Tympanic Membrane (TM)

These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is different, and those individuals involved in providing health care are expected to use...

Toddler Tibia Fracture: Inclusion and Exclusion

Inclusion Criteria: Patients aged 1 to 4 years. Not bearing weight. Low energy mechanism, defined as: Fall from standing. Trip and fall Injury at the bottom of a slide. Stable tibial shaft or distal tibia...

Focal Intracranial Infection

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...

Family Education

When there is a concern that a child may be at risk for sepsis, it is important to start communicating with the family. Here are some talking points to share with parents/caregivers: Our staff is going to...

Bivalent COVID-19 Boosters - Wide World of Vaccines - September 2022

On Aug. 31 the United States Food and Drug Administration amended the emergency use authorization of the Moderna COVID-19 and the Pfizer-BioNTech COVID-19 vaccines to authorize bivalent formulations for...

Dyslexia Screening - Pediatric Bioethics - October 2022

Identifying and helping children with dyslexia early can drastically improve their chance of reading at grade level. Pediatricians and schools need to work together to identify and screen these kids early...

Severe Cephalosporin Allergy

Trimethoprim-sulfamethoxazole: Cystitis or Pyelonephritis: 6-12 mg TMP/kg/day PO (max: 160 mg TMP/dose). OR Ciprofloxacin: Cystitis: Oral: Immediate release tablet or oral suspension: 20 – 40 mg/kg/day...

Asthma Reference Guide

The goal of this asthma care reference guide is to help clinicians provide quality care to children with asthma across the care continuum at Children's Mercy. This was done by summarizing national...

Asthma Control Tests

Questionnaires used at CM to assess asthma control Test for Respiratory and Asthma Control in Kids (TRACK) Test for Respiratory and Asthma Control in Kids (TRACK) for under 5 years of age AND has a history...

8. Treating Co-Morbid Conditions

Common co-morbid conditions that complicate the care of asthma include are reviewed here. These should be assessed as they may worsen asthma severity and complicate control of asthma. Allergic...

Four Extremity Blood Pressure

The clinical diagnosis of coarctation of the aorta is initially on characteristic blood pressure findings. The characteristic findings are based on the location of the aorta coarct. Most commonly, systolic...

Indications For Hematology Consultation

Initiation of therapy for patients: Age < 30 days Baseline INR ≥ 1.2 prior to initiation of warfarin Impaired renal function Maintenance of anticoagulation therapy with: Delay in reaching therapeutic...

Neisseria Gonorrhea

Similar to infection with C. trachomatis, infection from N. gonorrhea among neonates results from perinatal exposure to the mother’s infected cervix. Acute illness typically is seen between 2 and 5 days...