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Catheter Directed Thrombolysis
tPA 0.1-0.3 mg/kg (max dose 10 mg) bolus followed by 0.01-0.03 mg/kg/hr (max 2 mg/hr) x 24-72 hrs. Administer heparin at 10 units/kg/hr or decrease direct thrombin inhibitor rate by 50%. These pathways do...
Kirby Bauer Testing
In January 2010, the Clinical and Laboratory Standards Institute (CLSI) published new minimum inhibitory concentration (MIC) breakpoints for cefazolin against Enterobacteriaceae (Wayne, 2010). These new...
Toddler Tibia Fracture: Inclusion and Exclusion
Inclusion Criteria: Patients aged 1 to 4 years. Not bearing weight. Low energy mechanism, defined as: Fall from standing. Trip and fall Injury at the bottom of a slide. Stable tibial shaft or distal tibia...
AOM – Mild 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...
Lab Follow-Up Processes by Care Setting:
Check for a Confidential Information Note for patient's contact information (found in ad hoc forms). Lab will complete the following steps automatically: Reporting of positive HIV through confirmation...
Vulvar Aphthous
Non-sexually acquired genital ulceration (NSGU) refers to complex aphthous ulcers in genital areas. NSGU occurs more commonly in young women. NSGU may be preceded by flu-like symptoms and is possibly...
he Emergency Medical Services for Children Task Force recommends the following sequence for rapid assessment
“Doorway assessment” of the overall appearance, work of breathing, and perfusion Airway – Is the airway able to be maintained? Breathing – respiratory rate and effort (retractions, grunting, stridor...
Systematic Screening for Sepsis/Septic Shock
References Bonfide, C.P., Brady, P.W., Keren, R., Conway, P.H., Marsolo, K., & Daymont, C. (2013). Development of heart and respiratory rate percentile curves for hospitalized children. Pediatrics...
Distal Radius Fracture
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...
Swab Affected Eye(s) For Gonorrhea, HSV, and Chlamydia 2023
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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...
Neonatal Conjunctivitis
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...
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...
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...
Epileptic Spasm Resources
Epileptic or Infantile Spasms | Epilepsy Foundation What Can Infantile Spasms Look Like? | Infantile Spasms Action Network Infantile Spasms | Child Neurology Foundation Infantile Spasms (West...
Classification of Seizure Type
Types of Seizures | Epilepsy Foundation Scheffer, I. E., Berkovic, S., Capovilla, G., Connolly, M. B., French, J., Guilhoto, L., Hirsch, E., Jain, S., Mathern, G. W., Moshé, S. L., Nordli, D. R., Perucca...
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]--> <...
Acute Chest Syndrome: Severe or Rapidly Progressing ACS
Symptoms of Severe or Rapidly Progressing Acute Chest Syndrome: Oxygen saturation below 90% despite supplemental oxygen, Increasing respiratory distress, Progressive pulmonary infiltrates, and/or Decline...
Hem/Onc/BMT PFAC Members
Hem/Onc/BMT Members Chalene Base Rosaland Daniels Sarah Dippel Ryan Faddis Kirsten Finn Tracy Gay Bethany Luther View Story Tracy Nagel Michelle Pixler Lori Werth I am a proud mother of 3 daughters...