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Fast Facts
Warfarin is generally started on day 1 or 2 of heparin or low molecular weight heparin (LMWH) therapy. Heparin or LMWH administration should overlap with warfarin for a minimum of 6 days and until INR (
Neisseria gonorrhoeae (GC) Eye Culture Results 2023
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Suspected Neonatal Conjunctivitis 2023
Neonatal conjunctivitis, also known as ophthalmia neonatorum, should be suspected clinically among neonates (≤ 28 days of age) with both injected conjunctiva and mucopurulent discharge, or among those...
Glucocorticosteroids
In the pediatric patient diagnosed with a refractory migraine, is glucocorticosteriods an effective treatment for the prevention of migraine relapse (return to ED or provider for relapse of the same...
Magnesium Sulfate
In the pediatric patient diagnosed with a refractory migraine, what is the efficacy of intravenous magnesium sulfate to decrease migraine pain in the Emergency Department? Plain language summary from the...
Febrile Infant: Lumbar Puncture Considerations
There is substantial evidence Inflammatory Markers (IM) are predictive of invasive blood infections including bacterial meningitis. For this age group, the number of meningitis cases in published studies...
Hypertension Inpatient Medication List
Common medications/substances associated with hypertension:Antipsychotics / Tricyclic Antidepressants, Amphetamines/stimulants, Caffeine, Chemotherapy, and more.
Indications For Hematology Consultation
Indications for Hematology consultation with anticoagulant therapy: Initiation of therapy for patients: Not in critical care unit Age < 30 days Baseline INR ≥ 1.2 prior to initiation of warfarin Impaired...
Preparing for CT Scan
CT scan media block What is a CT scan? A computed tomography scan (CT scan) uses computers and a moving X-ray machine to take pictures of the inside of the body. CTs can make detailed pictures of organs...
Plastic and Reconstructive Surgery: Makayla's Story
Ask 9-year-old Makayla Hainline’s mother, Angie, to describe her daughter in one word, and there’s no hesitation. “Fearless,” Angie said. “She’s fearless, unless it involves a spider.” Makayla scrunches...
Cerebral Edema Therapy
Those at increased risk include younger age (<5 y/o), new onset diabetes, and longer duration of symptoms. Additional risk factors at diagnosis or during treatment include - more severe acidosis or very...
Decrease Environmental Stimuli
Minimization of environmental stimuli no: Bright lights. Strong smells. Excessive loud noises. Cell phone/text message usage in room. Television usage. Keep patient door closed. Minimal visitation. Level...
Febrile Infants: CSF Studies
Cell count. Bacterial culture. Gram stain. Protein. Glucose. Enterovirus PCR (summer and fall) or evidence of viral meningitis. HSV PCR (if pleocytosis). These pathways do not establish a standard of care...
Constipation: Rome IV Criteria for Constipation
Neonate/Toddler Child/Adolescent 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...
Education
Children's Mercy inpatients: Direct patient education on LMWH will be provided and documented by Children's Mercy pharmacists for Children's Mercy inpatients. Education will include potential for...
Prochlorperazine With or Without diphenhydrAMINE
In the pediatric patient diagnosed with a refractory migraine, is prochlorperazine an effective treatment compared to ketorolac, metoclopramide, sodium valproate, IV magnesium? Plain language summary from...
Febrile Infant: HSV Risk
HSV risk factors: Less than 46 Days Old Ill appearance (off guideline) Prematurity: <37 weeks EGA - off guideline Maternal history of genital HSV lesions Maternal fever from 48 hours before...
Treatment Options
Hormonal Forms of Treatment Progesterone only method: Norethindrone Acetate 10 mg daily; does not act as contraception; goal is amenorrhea while taking Estrogen & Progesterone method: Sprintec...
Dacryocystocele 2023
Dacryocystoceles are typically noted shortly after birth and appear as a bluish swelling of the skin overlying the lacrimal sac and superior displacement of the medial canthal tendons. It is recommended...
Broad-Spectrum Antibiotics for Use in Fever and Suspected Neutropenia
If patient is ill-appearing or with signs of shock (i.e. hypotensive requiring > 60 ml/kg fluid resuscitation and/or critical care interventions)*** <!-- [if gte mso 9]> <![endif]--> <...