N.J. Admin. Code § 8:41-8.17

Current through Register Vol. 56, No. 23, December 2, 2024

Section 8:41-8.17 - Standing orders for pediatric tachycardia

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

1. Assess and secure the airway;

2. Administer 100 percent oxygen;

3. Maintain normal body temperature;

4. If rhythm is sinus or supraventricular in nature, attempt vagal maneuvers;

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

6. Administer adenosine 0.1 mg/kg IV/IO (maximum dose of 6 mg);

7. If no change, administer adenosine 0.2 mg/kg IV/IO (maximum dose of 12 mg); and

8. Contact the medical command physician.

(b) The following standing orders are authorized in the event that a pediatric patient presents with wide complex tachycardia:

1. Assess and secure the airway;

2. Administer 100 percent oxygen;

3. Maintain normal body temperature;

4. If rhythm is sinus or supraventricular in nature, attempt vagal maneuvers;

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

6. If no change, cardiovert with 0.5 J/kg; and

7. Contact the medical command physician.

N.J. Admin. Code § 8:41-8.17