N.J. Admin. Code § 8:41-8.11

Current through Register Vol. 56, No. 21, November 4, 2024

Section 8:41-8.11 - Standing orders for pediatric altered mental status

(a) The following standing orders are authorized in the event that a pediatric patient presents with altered mental status:

1. Assess and secure the airway;

2. Administer 100 percent oxygen;

3. Maintain normal body temperature;

4. If evidence of trauma, refer to 8:41-8.8, Standing orders for pediatric trauma;

5. Establish IV access with normal saline solution at a KVO rate or, if patient is severely unstable, establish IO access;

6. Obtain a rapid glucose test. If blood glucose is less than 60:

i. For patients less than one month of age, administer 0.5 g/kg of a 10 percent dextrose solution via IV/IO;

ii. For patients greater than or one month of age, administer 0.5 g/kg of a 25 percent dextrose solution via IV/IO;

iii. If unable to establish an IV/IO, administer Glucagon 0.1 mg/kg (0.1 ml/kg) to a maximum of 1 mg via IM or SC routes (1mg=1ml=1 unit);

7. If no change in the patient's status, administer Naloxone 0.1 mg/kg, with a maximum dose of 2 mg via IV/IO/ET;

8. If there is a history of dehydration, administer a fluid bolus of normal saline at 20 ml/kg via IV/IO; and

9. Contact the medical command physician.

N.J. Admin. Code § 8:41-8.11