N.J. Admin. Code § 8:41-7.10

Current through Register Vol. 56, No. 11, June 3, 2024

Section 8:41-7.10 - Standing orders for pulmonary edema/congestive heart failure

(a) The following standing orders are authorized in the event that an adult patient presents with pulmonary edema/congestive heart failure with systolic blood pressure greater than, or equal to, 110 mmHg:

1. Assess and secure airway;

2. Administer 0.4 mg Nitroglycerin sublingually every five minutes, to a maximum dose of 1.2 mg (which is three tablets or sprays of 0.4 mg each), provided the systolic blood pressure is greater than or equal to 110 mmHg;

3. Establish IV access;

4. Administer Furosemide 1 mg/kg IV;

i. A provider's medical director may elect to substitute Bumetanide 2 mg IV for Furosemide. The medical director shall notify the Department if he or she elects to utilize this substitution; and

5. Contact the medical command physician.

N.J. Admin. Code § 8:41-7.10