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Treatment/Plan Greater than 3 Days
If unsure at 24-48 hours, it is not necessary to obtain a trough level before 72 hours. Reassess entire patient daily for any changes that may lead down a different pathway in the algorithm.
Elevated Serum Creatinine
1) An increase of >0.5mg/dL from baseline OR 2) Greater than or equal to 50% increase in serum creatinine from baseline OR 3) Any patient with an elevated serum creatinine based on normal range for patient...
AOM – Moderate/Severe 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...
AOM – Tympanic Membrane Perforation
Images for AOM Tympanic Membrane Perforation: Children’s Mercy Providers Providers without Children’s Mercy privileges These pathways do not establish a standard of care to be followed in every...
Getting a Joint Injection or Joint Aspiration
Read the steps your child will take when getting a joint injection or aspiration at Children's Mercy.
Common Burn Treatment
A list of common burn treatments you can use to treat your child's burn.
Faculty and Contact
Graduate Medical Education Tel: (816) 234-3373 Fax: (816) 302-9959 Suite I (816) 302-9918 Suite II (816) 855-1946 Housestaff Email: GME@cmh.edu Nursing...
Rising T1DE Leadership
Rising T1DE is an industry-leading team of clinicians, data scientists, researchers, persons with diabetes and family members focused on rapidly innovating and scaling quality improvement efforts in...
Patient Diversity
Children’s Mercy Pediatric Residency and Fellowship Programs are committed to recruiting and training a diverse group of pediatric residents. We seek to provide high quality clinical care by creating a...
1. Introduction to Asthma
Brief definition “Asthma is a chronic inflammatory disorder of the airways in which many cells and cellular elements play a role. In susceptible individuals, this inflammation causes recurrent episodes...
Allergic Bronchopulmonary Aspergillosis (ABPA)
Allergic bronchopulmonary aspergillosis (ABPA) is an allergic reaction within airways occurring almost exclusively in patients with asthma or cystic fibrosis. Less commonly reported in patients with...
10. Yellow Zone Therapy Options
Yellow zone therapies are hotly debated in regard to treatment. In the EPR 4, the expert panel reviewed the use of intermittent ICS and looking at three critical outcomes (exacerbations, asthma control and...
Constipation: Rome IV Child/Adolescent Criteria for Constipation
Child/Adolescent, Hyams et al. (2016) A minimum of 1 month of two or more of the following occurring at least once per week, with insufficient criteria for a diagnosis of irritable bowel: Two or fewer...
Multisystem Inflammatory Syndrome in Children (MIS-C): Inpatient
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...
Myelomeningocele: Family Teaching Resources
Spinal Differences Coordinator or Rehab nurse will provide family education and resources. Patient specific education will be completed by specialty services as needed: Urology for CIC. Neurosurgery for...
Myelomeningocele: Indications for Ventriculoperitoneal Shunting
In an effort to standardize criteria for treating hydrocephalus surgically (shunt or endoscopic procedures) the criteria used in the MoMS trial will be used: At least two of the following: An...
Urine Output
Urine output in mL/kg/day = (total mL of urine in 24 hours/patient weight in kg)/24...
AOM – Otitis Media with Effusion
Otitis media with effusion (OME), or serous otitis media, is defined by fluid collection behind the tympanic membrane without an acute infection. This results from negative pressure in the middle ear. It...
Pectus Bar Repair with Bar Placement 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...
Culture of LOVE inspires Emily Barker to work at Children's Mercy
Culture of Love inspires Emily Barker to work at Children's Mercy Hudson's heart Photo: Emily Barker My story starts a little over nine years ago. My husband and I were so excited for our twins to be...