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Alternative First-line Anti-seizure Medications
Route Drug Dose Max IV Midazolam 0.1 mg/kg 5 mg IV Diazepam 0.2 mg/kg 10 mg Rectal Diazepam 6 - 11 months: 2.5 mg 1 - 5 years: 0.5 mg/kg (rounded to nearest 2.5 mg) 6 - 11 years: 0.3 mg/kg (rounded to...
Alternative Second and Third-line Anti-seizure Medications
Route Drug Dose Max IV Fosphenytoin 20 mg PE/kg 2000 mg PE IV Lacosamide 5 mg/kg 400 mg IV Phenobarbital 20 mg/kg 1000 mg These pathways do not establish a standard of care to be followed in every case.
Bolus Dosing of Home Anti-seizure Medications
Route Drug Dose Max IV Lacosamide 2 - 6 mg/kg 200 mg IV Phenobarbital 5 - 10 mg/kg Use blood level to determine dose if available; 1000 mg max IV Valproic Acid 10 - 20 mg/kg Use blood level to determine...
Fever Management
Fever is expected at the end of life but does not necessarily indicate infection or inflammation. Symptomatic treatment using antipyretics, cool sponges, and fans can help make the person more comfortable.
Refer a patient to Home Care
Children's Mercy Home Care is the only full-service pediatric home-health agency in the region. Our team provides continuity of care following inpatient stays and often instead of hospitalization. Home...
Contact Children's Mercy
We're here to help you provide the best care to your patients. View the contact information for the Provider Relations, Contact Center, or the Medical Records departments.
Starting Doses of Opioids
Titrate dose and frequency to maintain adequate symptom control. Dose and frequency increases may need to be very aggressive during the active dying process. There is no absolute maximum dose for opioid...
Nursing Units
Children’s Mercy offers nursing positions in all inpatient units. Learn more about how each unit, at both our Adele and Kansas hospitals, provide unique patient experiences focused on a range of...
Psychological Symptom Management
Symptoms Treatment Delirium Delirium is a disturbance in consciousness and cognition characterized by changes in mental status with impaired attention, awareness, and cognition. Hyperactive...
End of Life Cultural, Legal & Ethical Aspects of Care
CMKC policies to refer to: Disagreement Resolution Surrounding Redirection of Care Moral and Religious Objections to Care AAP Policy Statements for End of Life: Forgoing Life-Sustaining Medical Treatment...
End of Life Resources and Support
When a child dies booklet Guides for parents: End of life for your child: Preparing, Part 1 End of life for your child: What to expect, Part 2 Understanding nutritional needs These pathways do not establish...
Epicondyle Fracture: Postoperative Management 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...
Evidence Based Strategies: Identifying and Treating Adolescent Depression
Column Author: Brianna Hafenstein, MD | Chief Resident Column Editor: Kathleen Berg, MD, FAAP | Medical Director, Office of Evidence-Based Practice, Associate Professor of Pediatrics...
Bioethics: In Our Healing Era: Supporting and Healing Together in a Time of Trauma
Column Author: Angie Knackstedt, BSN, RN, NPD-BC | Program Manager, Health Literacy & Nursing Bioethics; Co-Director of Certificate Program in Pediatric Bioethics Jennifer Stallbaumer-Rouyer, LCSW...
The Link - March 2024
Our March issue features the latest news and updates on pediatric care from Children's Mercy clinicians. The Link - March 2024 Identifying and Treating Adolescent Depression: Evidence Based Strategies Read...
Outbreaks, Alerts and Hot Topics: Lawn Mower Injuries
Column Author: Chris Day, MD | Pediatric Infectious Diseases; Director, Transplant Infectious Disease Services; Medical Director, Travel Medicine; Assistant Professor of Pediatrics...
Vaccine Update: ACIP Recommends Primary Polio Series for All Adults
Column Author: Maria Martinez, RN, BSN, MSN, MBA, CPN | Immunization Coordinator Column Editor: Angela Myers, MD, MPH | Pediatric Infectious Diseases; Division Director, Infectious...
Provider Resources
We value your partnership and want to make working with us as easy as possible. Here you will find resources and tools to help you with referrals, managed care contracting, medical staff credentialing and...
Hyperbilirubinemia
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...
Community Acquired Pneumonia
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...