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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...
Dacrocystitis 2023
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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...
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...
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...
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...
Patient Education
Do NOT switch manufacturers of warfarin. Children's Mercy inpatients: Direct patient education on warfarin will be provided by Children's Mercy pharmacists for Children's Mercy inpatients. Education...
Antibiotics
References Children’s Hospital Association Improving Pediatric Sepsis Outcomes (IPSO) Collaborative Infectious Disease Workgroup and Antimicrobial Recommendations Working Group. (2018). Improving pediatric...
Nasolacrimal Duct Obstruction 2023
Nasolacrimal duct obstruction is a relatively common congenital abnormality in the neonatal population with a reported incidence ranging from 6 to 20%. Unlike infectious conjunctivitis, nasolacrimal...
Bilirubin/Albumin Ratio
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...
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://
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...
Suspected Stroke - References
1. Albers, G. W., Marks, M. P., Kemp, S., Christensen, S., Tsai, J. P., Ortega-Gutierrez, S., ... & Lansberg, M. G. (2018). Thrombectomy for stroke at 6 to 16 hours with selection by perfusion imaging.
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...
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...
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...
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...
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...
Athletic Training Services
Meet the Team Our athletic trainers are certified, licensed health care professionals whose primary concern is the optimal health of student athletes. Athletic trainers are responsible for providing...