New Jersey Administrative Code
Title 8 - HEALTH
Chapter 41 - ADVANCED LIFE SUPPORT SERVICES; MOBILE INTENSIVE CARE PROGRAMS, SPECIALTY CARE TRANSPORT SERVICES AND AIR MEDICAL SERVICES
Subchapter 7 - STANDING ORDERS FOR ADULT PATIENT
Section 8:41-7.7 - Standing orders for pulseless electrical activity (PEA)

Universal Citation: NJ Admin Code 8:41-7.7

Current through Register Vol. 56, No. 6, March 18, 2024

(a) The following standing orders are authorized in the event that an adult patient presents with pulseless electrical activity:

1. Initiate CPR;

2. Assess and secure airway, oxygenate and intubate;

3. Establish large bore IV access;

4. Administer 300 cc fluid challenge, 0.9 percent normal saline solution;

5. Administer Epinephrine 1 mg IV or 2 mg ET of a 1:10,000 solution. Repeat every three minutes, for a total of three administrations;

6. If PEA rate is slow (that is, less than 60 beats per minute), give Atropine 1 mg IV or 2 mg ET. Repeat every three minutes to a total of 0.04 mg/kg; and

7. Contact the medical command physician.

(b) The total amount of solutions given via ET shall not exceed 50 cc.

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