On standing orders, how many doses can be given to pediatric and adult patients?

On standing orders, how many doses can be given to pediatric and adult patients?

• A. Pediatric: one dose; Adult: three doses.
• B. Pediatric: two doses; Adult: two doses, 5 minutes apart.
• C. Pediatric: one dose; Adult: one dose.
• D. Pediatric: one dose; Adult: two doses with the second dose 5 minutes later.

Answer: (D)

This item tests how standing orders limit naloxone dosing for different ages. Under these orders, pediatric patients are given one dose, while adult patients may receive up to two doses, with the second dose given 5 minutes after the first if there’s still a need for reversal. The interval allows you to observe the patient’s response and airway status before giving more medication. After each dose, reassess airway, breathing, and circulation, and proceed to medical control if there’s still inadequate improvement or if the patient’s condition changes.

This item tests how standing orders limit naloxone dosing for different ages. Under these orders, pediatric patients are given one dose, while adult patients may receive up to two doses, with the second dose given 5 minutes after the first if there’s still a need for reversal. The interval allows you to observe the patient’s response and airway status before giving more medication. After each dose, reassess airway, breathing, and circulation, and proceed to medical control if there’s still inadequate improvement or if the patient’s condition changes.