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Bolus Dosing of Home Anti-seizure Medications
Route Drug Dose Max IV Lacosamide 2 - 6 mg/kg 200 mg IV Phenobarbital 5 - 10 mg/kg Use blood level to determine dose if available; 1000 mg max IV Valproic Acid 10 - 20 mg/kg Use blood level to determine...
Alternative Second and Third-line Anti-seizure Medications
Route Drug Dose Max IV Fosphenytoin 20 mg PE/kg 2000 mg PE IV Lacosamide 5 mg/kg 400 mg IV Phenobarbital 20 mg/kg 1000 mg These pathways do not establish a standard of care to be followed in every case.
Fever Management
Fever is expected at the end of life but does not necessarily indicate infection or inflammation. Symptomatic treatment using antipyretics, cool sponges, and fans can help make the person more comfortable.
Wearables in Research
The Research Informatics and Data Science team led by Mark Hoffman, PhD, Chief Research Information Officer, is an example of a group that collaborates with researchers throughout the CMRI. The team provides...
End of Life Resources and Support
When a child dies booklet Guides for parents: End of life for your child: Preparing, Part 1 End of life for your child: What to expect, Part 2 Understanding nutritional needs These pathways do not establish...
Azadeh Wickham Receives PCS Research Grant to Study Clean Intermittent Catheterization Determinants and Adherence
The aim of this study is to describe the rate of clean intermittent catheterization adherence and correlate determinants to clean intermittent catheterization adherence in caregivers of pediatric patients...
End of Life Cultural, Legal & Ethical Aspects of Care
CMKC policies to refer to: Disagreement Resolution Surrounding Redirection of Care Moral and Religious Objections to Care AAP Policy Statements for End of Life: Forgoing Life-Sustaining Medical Treatment...
Psychological Symptom Management
Symptoms Treatment Delirium Delirium is a disturbance in consciousness and cognition characterized by changes in mental status with impaired attention, awareness, and cognition. Hyperactive...
Siblings helping siblings thrive
A sibling is often called a built-in best friend. The hope for parents is that the bond will continue with your children through all phases of life. But a new addition to the family also means a new role...
Refer a patient to Home Care
Children's Mercy Home Care is the only full-service pediatric home-health agency in the region. Our team provides continuity of care following inpatient stays and often instead of hospitalization. Home...
Starting Doses of Opioids
Titrate dose and frequency to maintain adequate symptom control. Dose and frequency increases may need to be very aggressive during the active dying process. There is no absolute maximum dose for opioid...
Abstract: Impact of Moderate-to-vigorous Physical Activity on Continuous Glucose Monitor-derived Metrics in Youth with Type 1 Diabetes
Kelsey Panfil1, Erin M. Tallon1, Brent Lockee1, David D. Williams1, Susana R. Patton2, Mark A. Clements1 1Children’s Mercy (Kansas City, MO), 2Nemours Children's Health, (Jacksonville, FL) Background...
Abstract: Enhanced Classification of Diabetes Status and Type Using Structured Data from Nationwide U.S. Electronic Health Records: A High-Throughput Approach
Erin M. Tallon, PhD, RN1,2; Grant Scott, PhD2,3; Cintya Schweisberger, DO1; Joseph T. Cernich, MD1; Ryan McDonough, DO1; Camila Manrique-Acevedo, MD4; Mark A. Clements, MD, PhD1; Chi-Ren Shyu...
Abstract: Evaluation of Child Opportunity Index 2.0 as a Predictor for Hemoglobin A1c in Youth with Type 1 Diabetes
Hamp Henning1, Kelsey Panfil1, Brent Lockee1, David D. Williams1, Erin M. Tallon1, Anna R. Kahkoska2, Angelica Cristello Sarteau2, Craig Vandervelden1, Susana R. Patton 3, Mark A. Clements1 1Children’s...
Administrative Internship
Overview Children’s Mercy is pleased to offer a paid undergraduate and graduate summer internship for Summer 2026. Our graduate summer administrative internship is for current Master level students in...
Epicondyle Fracture: Postoperative Management Clinical Pathway
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...
April
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Dr. Mark Clements Receives JDRF Award to Study Psychosocial Technology for Youth with Type 1 Diabetes
Dealing with T1D can cause psychosocial burdens (depression, diabetes distress, anxiety, fear of hypoglycemia, family conflict) in adolescent and young adults. If not addressed, these issues can result in...
Abstract: Bioinformatic Evaluation of Continuous Glucose Monitoring (CGM) Engagement and Disengagement Durations in Relation to the Child Opportunity Index 2.0 in Youth with Type 1 Diabetes (T1D)
Craig Vandervelden1, Kelsey Panfil1, Brent Lockee1, David D. Williams1, Erin M. Tallon1, Anna R. Kahkoska2, Angelica Cristello Sarteau2, Susana R. Patton3, Mark A. Clements1 1Children’s Mercy (Kansas...
4 things to know about seasonal allergies
We may still be seeing some chilly days, but allergies are in full effect. Chances are, if you’re not sneezing and itching, someone in your family is. Despite how common seasonal allergies are, many people...