How many times can you give Naloxone on standing order?

How many times can you give Naloxone on standing order?

• A. 3 times
• B. 2 times
• C. 1 time
• D. 4 times

Answer: (B)

Two doses. Under standing orders you may give Naloxone and then, if there’s not enough improvement after the first dose, give a second dose. This accounts for the possibility that the opioid effect may outlast the Naloxone or that partial reversal occurs, so a second dose improves the chance of return of adequate breathing and responsiveness. After giving two doses, continue to reassess, monitor airway and vitals, and arrange transport or obtain medical direction if further action is needed.

Two doses. Under standing orders you may give Naloxone and then, if there’s not enough improvement after the first dose, give a second dose. This accounts for the possibility that the opioid effect may outlast the Naloxone or that partial reversal occurs, so a second dose improves the chance of return of adequate breathing and responsiveness. After giving two doses, continue to reassess, monitor airway and vitals, and arrange transport or obtain medical direction if further action is needed.