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Atopic Dermatitis: Noninfected and Infected - Topical Steroids
Classification of Topical Steroids Most Potent - Class I, Least Potent - Class VII *High potency Class I: Super-potent: Clobetasol 0.05% ointment, cream, solution, and foam. Class II: High...
Dihydroergotamine (DHE)
In the pediatric patient diagnosed with a refractory migraine, what is the efficacy of DHE IV to decrease migraine pain in the Emergency Department? Plain language summary from the office of evidence based...
Criteria for Insulin Drip Discontinuation
Discontinue insulin when: Bicarbonate level is ≥17mmol/L. Anion gap is normalized. And/or blood ketones are negative to small. Once the insulin drip is stopped, discontinue D10NS with additives ...
Atopic Dermatitis: Infected - Eczema Herpeticum
Symptoms: widespread skin involvement, pain, fever. Rapidly spreading lesions. Likely history of exposure to HSV. Pustules or vesicles rapidly changing into painful erosions. Occasionally vesicles or...
Triptan
DHE cannot be given if the patient has received triptans with the previous 24 hours (Lexi-Comp, 2016). These pathways do not establish a standard of care to be followed in every case. It is recognized that...
Post-Dural Puncture Headache
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...
Migraine Therapy in the ED
Guideline inclusion criteria: Children up to 18 years of age. Physical exam normal. History consistent with primary headache. Guideline exclusion criteria: Abnormal physical exam normal. History...
ADHD Assessment: Options for Assessing Functional Impairment
Options for assessing functional impairment: History Vanderbilt items: Parent Scale Questions (48-55)* Teacher Scale Questions (36-43)* Impairment Rating Scale *Children’s Mercy providers may access these...
Bronchiolitis Synopsis
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...
Initiation, Maintenance and Duration of Therapy
This clinical pathway is not intended for patients on ECMO, cardiac bypass pump, hemodialysis or continuous renal replacement therapy. Refer to specific guidelines for these situations. Initiation of...
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...
PGY 1 and PGY2 Alumni
Former PGY1 Pharmacy Residents: 2024-2025 Brady Gholson, PharmD Ali Goldensoph, PharmD Berkley Peiker, PharmD 2023-2024 Cami Bizal, PharmD Hayley Kendrick, PharmD Catherine Morton, PharmD 2022-2023 Jenna...
Bronchiolitis Feeding
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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...
Nonviable Tissue
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...
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...
Antihypertensive(s) and/or Lifestyle Modifications
Severe BP elevation means a BP consistently ≥ 99th percentile. Consult Nephrology if ≥ 2 doeses in 24 hours required to normalize BP.
Patella Tendonitis
USNWR Ortho Media Block Tendons are like ropes which connect muscles to bone. The patellar tendon connects the kneecap (the patella) to the shinbone (the tibia). Patellar tendonitis is the condition that...
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...
Failure as a gift
Webster Dictionary defines failure as “lack of success” or “falling short.” As well-known comedian, Ellen De Generes stated, “When you take risks you learn that there will be times when you succeed and...