N.J. Admin. Code § 8:41-7.17

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

Section 8:41-7.17 - Standing orders for respiratory distress with wheezing due to COPD or bronchoconstriction

(a) The following standing orders are authorized in the event that an adult patient presents with dyspnea where the signs and symptoms are consistent with asthma, COPD or any other dyspnea associated with wheezing or suspected bronchospasm:

1. Assess and secure airway;

2. Administer 2.5 mg Albuterol/3 cc normal saline solution via nebulizer;

i. A provider's medical director may elect to substitute Metaproterenol or Isoetharine for Albuterol. This substitution shall be declared at the time these standing orders are authorized by the medical director and approved by the Department.

3. Establish IV access;

4. Administer additional 2.5 mg Albuterol/3 cc normal saline solution treatments via nebulizer, up to a total of three treatments; and

5. Contact the medical command physician.

N.J. Admin. Code § 8:41-7.17