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 8:41-8.9 - Standing orders for pediatric seizures

Universal Citation: NJ Admin Code 8:41-8.9

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 active seizures:

1. Assess and secure the airway;

2. Administer 100 percent oxygen;

3. Maintain normal body temperature;

4. Obtain a rapid glucose test;
i. If blood glucose is greater than or equal to 60, contact the medical command physician;

ii. If blood glucose is less than 60:
(1) Establish IV/IO access with normal saline at a KVO rate.
(A) For patients less than one month of age, administer 0.5 g/kg of a 10 percent dextrose solution via IV/IO.

(B) For patients greater than or equal to one month of age, administer 0.5 g/kg of a 25 percent dextrose solution via IV/IO.

(C) 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); and

5. Contact medical command.

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