N.J. Admin. Code § 8:41-8.16

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

Section 8:41-8.16 - Standing orders for pediatric non-traumatic shock

(a) The following standing orders are authorized in the event that a pediatric patient presents with non-traumatic shock:

1. Assess and secure the airway;

2. Administer 100 percent oxygen;

3. Maintain normal body temperature;

4. Establish IV/IO access with normal saline solution at a KVO rate;

5. Administer a rapid fluid bolus of normal saline at a dose of 20 mL/kg;

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 one month of age, administer 0.5 g/kg of a 25 percent dextrose solution via IV/IO.

7. 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);

8. If no change, administer a rapid fluid bolus of normal saline solution at a dose of 20 mL/kg; and

9. Contact the medical command physician.

N.J. Admin. Code § 8:41-8.16