N.J. Admin. Code § 8:41-8.9

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

Section 8:41-8.9 - Standing orders for pediatric seizures

(a) The following standing orders are authorized in the event a pediatric patient presents with active seizures:

1. Assess and secure the airway;

2. Administer 100 percent oxygen;

3. Maintain normal body temperature;

4. Obtain a rapid glucose test;

i. If blood glucose is greater than or equal to 60, contact the medical command physician;

ii. If blood glucose is less than 60:

(1) Establish IV/IO access with normal saline at a KVO rate.

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

(B) For patients greater than or equal to one month of age, administer 0.5 g/kg of a 25 percent dextrose solution via IV/IO.

(C) 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); and

5. Contact medical command.

N.J. Admin. Code § 8:41-8.9