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Fast Facts
Low molecular weight heparin (LMWH) is the anticoagulant of choice for most pediatric patients Advantages include: Minimal monitoring requirements Reduced interference of other drugs and diet Reduced...
16. Asthma Education Resources
External website for families Medication Access and Co-Pay Assistance Programs Pippin the Puffin Asthma Price Cap Guide Preferred Asthma Combination and Biologic Products by Insurance 16. Asthma...
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...
Emergency Contraception
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...
nPEP Medication Guidance
Disclaimer This care process model does 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...
AETC Risk Assessment
AIDS Education and Training Centers Program. (2022). Non-occupational post-exposure HIV prevention and risk assessment. Retrieved from https://aidsetc.org/resource/npep-toolkit on January 10, 2023.
Hypertension, Inpatient
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...
IV Contrast for MRI and CT: Risks and Benefits of Contrast Administration
The potential risks for developing serious skin conditions such as nephrogenic systemic fibrosis (NSF) related to the modern gadolinium-based contrast agents are extremely low even in patients with...
Confidential Documentation
Recommend confidential provider note type If test are still pending, must ensure Confidential Information Form is complete with patient's contact information Search for form as an order Once entered...
SSTI: Impetigo (Images)
For Children's Mercy providers: https://www-visualdx-com.ezproxy.cmh.edu/visualdx/diagnosis/non-bullous+impetigo?moduleId=103&diagnosisId=51763&lang=en_US#view=text&gid=1&pid=7 https://
Rasburicase Administration Considerations
Administration of rasburicase beyond 5 days is not recommended by the manufacturer. In fact, a single dose of rasburicase has been shown to rapidly reduced hyperuricemia and multiple doses are rarely...
Exclusion Criteria
Concern for sepsis: Sepsis - ED/Inpatient Sepsis - ICU Chronic kidney disease. Suspected OR known genitourinary abnormalities, such as (but not limited to): previous genitourinary surgery (other than...
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...
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.
Pediatric Guides
Children’s Mercy specialists have developed guides on constipation, abnormal thyroid, abnormal menstrual patterns, short stature, pediatric obesity and antimicrobial stewardship.
Family Education Tools
An important part of antimicrobial stewardship is taking time to educate patients and families on how to use antibiotics appropriately. Data demonstrates that most parents are not expecting...
State-of-the-Art Pediatrics February 2021
Elderberry – Is the Herbal Remedy Safe for Kids? Co-author: Emily J. Goodwin, MD, FAAP | Pediatrician | Clinical Assistant Professor of Pediatrics...
What's the Diagnosis? January 2022
A previously healthy, 12-month-old female presents with a rash. Parents first noticed red papules and vesicles on her trunk two days ago which have now spread in a clustered pattern to her face, back and...
Wise Use of Antibiotics February 2022
I recently watched an episode of 20/20 featuring children who developed OCD, outbursts and tantrums, seizures, catatonia, and paranoia following a diagnosis of streptococcal pharyngitis. Some of the...
Wide World of Vaccines January 2021
I recently watched an episode of 20/20 featuring children who developed OCD, outbursts and tantrums, seizures, catatonia, and paranoia following a diagnosis of streptococcal pharyngitis. Some of the...