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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...
Urine Output
Urine output in mL/kg/day = (total mL of urine in 24 hours/patient weight in kg)/24...
Twin to Twin Transfusion Syndrome (TTTS)
Learn about Twin to Twin Transfusion Syndrome (TTTS), a condition that impacts the blood flow between identical twins who share one placenta. Explore the diagnosis and treatment options available at...
8. Treating Co-Morbid Conditions
Common co-morbid conditions that complicate the care of asthma include are reviewed here. These should be assessed as they may worsen asthma severity and complicate control of asthma. Allergic...
Abnormal Menstrual Patterns
Recommendations for pediatricians regarding diagnosis, management, and when to refer to a Children's Mercy specialist.
Chromosomal Abnormality: Odin’s Story
Odin Buser was born with a rare chromosomal abnormality. His team at the Children's Mercy Beacon Program partners with his family to closely monitor his complex medical care.
Appendicostomy
An appendicostomy is a surgery that is performed allowing a child to receive an enema through their belly button or abdomen. The goal of the surgery is to make the enema process easier on everyone and work...
Violencia de pareja íntima
¿Alguna vez siente que usted o sus niños no están seguros en su hogar? ¿Le preocupa que alguien que usted conoce no esté seguro/a en el hogar? Hay esperanza y hay ayuda.
Fracture Care
Children’s Mercy provides pediatric-specific care to put your child on the road to healthy healing. We offer casting, surgery and follow-up care in our nationally ranked orthopedic department.
Weight Management Program
Request an Appointment Refer a Patient Meet the Team Effective weight management involves caring for the whole person. Kids in our Weight Management program receive care from a dedicated team of experts...
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...
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...
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...
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...
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.
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...
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...
Febrile Oncology Patient
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...