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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...
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...
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...
Dietary Considerations
Parents should notify physician for: Significant changes in diet with foods high in Vitamin K: Kale, spinach, broccoli, cauliflower, turnip greens, chick peas, brussel sprouts, green tea, soybean oil, liver...
Epidemiology
In most western countries, type 1 diabetes accounts for over 90% of childhood and adolescent diabetes, although less than half of individuals with type 1 diabetes are diagnosed before the age of 15 years.
Options For Obtaining Warfarin Doses With Available Strength
Appendix I - Warfarin Dosing Adjustment Using One Tablet Strength 1 mg tablet strength Total weekly dosage Sunday Monday Tuesday Wednesday Thursday Friday Saturday 5.5 mg 1 tablet 0.5 tablet 1 tablet 0.5...
Hydration Considerations
Maintaining a high UOP with adequate hydration is the most important factor in preventing TLS. Improves renal perfusion, GFR and minimizes acidosis. This prevents precipitation of uric acid and Ca-P...
Complete History and Physical Exam
The patient with refractory headache will typically present with: Headache attack lasting 1-72 hours. Headache has at least two of the following four features: Either bilateral or unilateral...
Blisters
Children’s Mercy obtained permission to use this picture for educational purposes. These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is...
AOM – Penicillin Allergy
Mild/Moderate: Hives Single organ system Excludes side-effects such as vomiting and diarrhea Excludes family history but not individual history of penicillin allergy Severe: Drug reaction with eosinophilia...
Atopic Dermatitis: Infected - Group A Strep
Strep Pyogenes (Most common Group A Strep): Glazed, bright red appearance especially in skin folds suggests Group A strep. Patients may also experience yellow drainage. When appearing within...
ACL Return to Sport Testing
When student-athletes near completion of rehabilitation following an ACL injury, they will undergo evidence-based tests with their sports physical therapist to determine if they are ready to gradually...
Liver Cancer Treatment
The liver cancer treatment team at Children's Mercy combines the medical and surgical expertise of the Division of Hematology and Oncology with the Liver Care Center. This program provides specialized...
Isokinetic Testing
What is Isokinetic Testing? After a major knee injury, isokinetic testing is used to assess the strength of the quadricep and hamstring of each leg. During this type of strength test, the amount of force...
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.