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 8 - STANDING ORDERS FOR PEDIATRIC PATIENTS
Section 8:41-8.10 - Standing orders for pediatric allergic reaction and/or anaphylaxis

Universal Citation: NJ Admin Code 8:41-8.10

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

(a) The following standing orders are authorized in the event a pediatric patient presents with an allergic reaction and/or anaphylaxis:

1. Assess and secure the airway;

2. Administer 100 percent oxygen;

3. Maintain normal body temperature;

4. Administer Epinephrine 0.01 mg/kg (0.01 ml/kg) of a 1:1,000 solution to a maximum of 0.5 mg via SC route;

5. If the patient is wheezing, administer albuterol 2.5 mg via nebulizer;

6. Establish IV access with normal saline solution at a KVO rate (if patient is severely unstable, establish intraosseous access);

7. If patient remains hemodynamically unstable, administer a rapid fluid bolus of normal saline solution at a dose of 20 ml/kg via IV/IO;

8. If no improvement, administer Diphenhydramine hydrochloride at a dose of 1 mg/kg (to a maximum dose of 50 mg) slowly via IV/IO; and

9. Contact the medical command physician.

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