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Diabetic Ketoacidosis (DKA)
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...
Understanding Pharmacogenetic Testing Results
Pharmacogenomic (PGx) testing looks at how your genes affect your response to certain medications. Genes are pieces of DNA that provide instructions to make our bodies look and work as they do. Some genes...
EpicCare Link
provides easy access to the health system’s Epic electronic medical record system. EpicCare Link provides registered users with secure view-only access to select patient information such as hospitalization...
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...
Monitor Response and Vital Sign Targets
References Akre, M., Finkelstein, M., Erickson, M., Liu, M., Vanderbilt, L., & Billman, G. (2010). Sensitivity of the pediatric early warning score to identify patient deterioration. Pediatrics, 125(4)
Respiratory Support
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...
Intubation and Sedation Medications
References Children's Hospital of Philadelphia (2023). Intubation/sedation medications. https://www.chop.edu/clinical-pathway/sepsis-emergency-department-inpatient-picu-clinical-pathway Vet, N.J., Kleiber...
Fluid Choice and Blood Products
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...
IV Escalation Plan
References Children's Hospital of Philadelphia (2023). Immediate IV access, IV escalation plan. https://www.chop.edu/clinical-pathway/sepsis-immediate-iv-access-iv-escalation-plan-ed-inpatient-picu Weiss...
Antibiotics
References Children’s Hospital Association Improving Pediatric Sepsis Outcomes (IPSO) Collaborative Infectious Disease Workgroup and Antimicrobial Recommendations Working Group. (2018). Improving pediatric...
Fluid Resuscitation
Fluid Therapy Administer a LR or NS fluid bolus of 10-20 mL/kg if shock present Monitor response to fluids (Vital Sign Targets and Clinical Goals for Initial Resuscitation) Tailor fluid therapy to the...
Laboratory Studies
Consider Inflammatory Conditions That May Manifest With Fever and Shock Kawaski Disease While rare, shock may be present in children with Kawasaki disease (Çakan et al., 2016) Multisystem Inflammatory...
Alternative Diagnoses
Syncope, convulsive syncope Complicated migraine or migraine with aura Gastrointestinal disorders (reflux) Psychiatric conditions (panic attacks, psychogenic non-epileptic events) Transient ischemic attack...
Outpatient Electroencephalogram (EEG)
While 75% of otherwise healthy, typically developing children with a first-time non-febrile seizure will not experience recurrence, 25% of these children may experience another non-febrile seizure. As such...
Frequently Asked Questions
Will my child have a seizure again? 75% of children will not have any further seizure activity. Could my child die from a seizure? Death after a first-time, unprovoked seizure is very rare. Does brain...
Frequently Asked Questions
What is the chance of my child having another febrile seizure? It is hard to predict if your child will have another febrile seizure. If your child does have another febrile seizure, it will likely be like...
Understanding parasocial relationships in teen media use
Learn signs of unhealthy relationships with social media use and how to guide your teen through parasocial relationships.
February
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Pre-registration
Update Patient Information Click here to update patient-account information (PCP, address, etc.), or to upload a document or insurance card. Pre-Registration Phone To pre-register with a Children's Mercy...
How to Enroll - Children’s Mercy MyChart
MyChart is the Children’s Mercy patient portal. Parents/caregivers should create their own account, then request proxy access to their child(ren). Find instructions on how to enroll.