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Vancomycin 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...

Typical Laboratory Findings in Sickle Cell Disease

Genotype Hb* (g/dL)† HbS* (%) HbA* (%) HbA2* (%) HbF *(%) HbC* (%) SS 6–9 >90 0 <3.5 <10 0 Sβ0-thalassemia 7–9 >80 0 >3.5 <20 0 Sβ+-thalassemia 9–12 >60 10–30 >3.5 <20...

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...

Toddler Tibia Fracture: Evidence Supporting 3rd View

Noe, M. C., Jarka, D. E., Sinclair, M. K., & Grote, C. W. (2025). Toddler’s fracture: an updated guide on evaluation and management. Journal of Pediatric Orthopaedics B, 34(2), 193-197. Tenenbein...

Shock

Shock is defined as use of vasoactive agents such as: -Epinephrine/norepinephrine, dopamine, dobutamine, milrinone, nitroprusside.

High Dose Systemic Thrombolysis

tPA 0.1-0.6 mg/kg/hr x6 hrs Adult dosing for pts >16 yrs and > 60 kg: Alteplase 100 mg over 2 hrs IV (if no concurrent anticoagulation therapy). These pathways do not establish a standard of care to...

Juvenile Vasculitis

What is vasculitis? Resources Vasculitis is a term for a group of rare diseases that cause inflammation of the blood vessels (arteries and veins). The different types of vasculitis vary in severity from...

Kyphosis

What is kyphosis? When the trunk is viewed from the side, the back of the upper chest area has a normal rounded appearance called kyphosis. When this curve becomes excessive, it is referred to as...

Preparing for a Bone Scan

The team at Children's Mercy has this information to answer your questions and help you prepare your child for their visit. When you arrive at the radiology department, your child will have an...

IV Contrast for MRI and CT: Population at Risk for Acute Kidney Injury

Stem cell transplant Acute or past treatment of oncologic disease Congenital heart disease Undergoing cardiopulmonary bypass Single ventricle physiology History of heart transplant Solid organ transplant...

Consider Additional Consults

Consider additional consults to: Either Allergy & Immunology OR Pulmonology. Social Work. Environmental Health. Indications for all 3 consults: > 4 ED/UCC/Inpatient episodes in the past 12 months...

Criteria for Transfer to Higher Level of Care

Hypotension Impending airway obstruction Need for Epi drip >1 dose of Epi given These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is...

Albuterol

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Neisseria Gonorrhea

Similar to infection with C. trachomatis, infection from N. gonorrhea among neonates results from perinatal exposure to the mother’s infected cervix. Acute illness typically is seen between 2 and 5 days...

Toddler Tibia Fracture: Mepilex Foam Secured With Tape

Cleanse wound with sterile saline and gauze. Dry thoroughly with gauze. Apply a square of Mepilex® over the wound (silicone side touches wound). Secure with 1-2 pieces of Primafix™ tape. Change every other...

Redness

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...

Abstract: Impact of Moving to a New Neighborhood and Child Opportunity Index 2.0 (COI) on Near Term Hemoglobin A1c (A1c) in Youth with Type 1 Diabetes (T1D)

B. Lockee1, C. Vandervelden1, K. Panfil1, E. Tallon1, D. Williams2, S. Patton3, S. Mehta4, D. Tilden5, C. Schweisberger1, N.-H. Yayah Jones6, R. McDonough1, M. Clements1 1Children’s Mercy, Endocrinology...

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