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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...
Autism and/or Developmental Delay: Finding Best Fit Developmental Diagnostic Center
Finding the best fit developmental diagnostic center: Geography. It is almost always ideal for families to receive their diagnostic service locally, with a preference for staying in-state. This supports...
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...
Warfarin Antidotes
Antidotes: Vitamin K (phytonadione) Kcentra FFP (fresh frozen plasma) Choice and dose is dependent on the clinical problem, no bleeding vs. significant bleeding, and need for future warfarin therapy. If...
Fast Facts
This pathway is intended for the use of heparin for therapeutic (not prophylactic) indications. This pathway is not intended for heparin use to maintain patency of arterial or central venous catheters or...
Potential Drug Interactions
Drug interactions with warfarin may occur via several mechanisms, including impairment of absorption, induction or inhibition of metabolism, competition for protein-binding sites, and platelet inhibition.
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...
Abdominal Pain: PPIs Maximum Starting Doses
Omeprazole (Prilosec): 40 mg daily Esomeprazole (Nexium): 40 mg daily - Available in powder form Lansoprazole (Prevacid): 30 mg daily Rabeprazole (AcipHex): 20 mg daily Pantoprazole (Protonix): 40 mg daily...
IV Contrast for MRI and CT: Order or Calculate eGFR-CR
CMH Order: "eGFR-Cr" OR Estimate eGFR-CR (link) *Current height and serum creatinine needed These pathways do not establish a standard of care...
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)
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...
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...
Use of Nebulized Hypertonic Saline
Bronchiolitis Clinical Pathway Committee recommendation: Based on very low quality evidence, a conditional recommendation is made against use of nebulized 3% hypertonic saline (HS) for routine management...
Abdominal Pain for Community Providers Care Process Model
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...
Multisystem Inflammatory Syndrome (MIS-C)
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Hypertriglyceridemia, Severe
Clinical Pathways promote evidence based, safe, and high-value patient care by providing clinical recommendations and standardized processes. They are developed by multidisciplinary committees of...
Hip Program Team
Request an Appointment Refer a Patient Hip Program Team Contact Us Patient Review (816) 234-3075...
Alter G Treadmill
The Sports Medicine Center is one of only a few Kansas City area rehabilitation facilities with an Alter G treadmill. The goal after rehabbing with the Alter G is to get the student-athlete back to working...