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 8:41-8.15 - Standing orders for pediatric croup

Universal Citation: NJ Admin Code 8:41-8.15

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

(a) The following standing orders are authorized in the event that a pediatric patient presents with croup:

1. Assess and secure the airway;

2. Administer 100 percent oxygen;

3. Maintain normal body temperature and position of comfort;

4. Mild to moderate distress (barking cough, inspiratory stridor):
i. Administer 3 cc normal saline via nebulizer with simple mask; and

ii. Contact the medical command physician;

5. Moderate to severe distress (stridor at rest, retractions, tripoding, accessory muscle use):
i. Administer epinephrine 3 mg (3 cc) 1:1,000 solution via nebulizer;

ii. If no change, establish IV/IO access with normal saline at a KVO rate; and

iii. Contact the medical command physician.

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