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The content includes agents for tachycardia, bradycardia, cardiac arrest rhythms, allergic reactions, bronchospasm and wheezing, hypoglycemia, seizures, pain control, and specific poisonings. Routes cover IV, IM, IN, PO, nebulized inhalation, and IO when applicable. Several entries provide one-time doses with defined intervals for reassessment and repeat dosing, including limits and concentration 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are standing orders structured in the document?","Question",{"text":112,"@type":113},"Each entry lists the medication, its form, route, indication(s), and the standing order dosing instructions including repeat timing when needed.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"Which routes of administration are included?",{"text":117,"@type":113},"The document includes IV, IO, IM, IN, PO, and nebulized/oral inhalation routes, with IO used when appropriate for access or fluid administration.",{"name":119,"@type":110,"acceptedAnswer":120},"What dosing guidance is provided for persistent symptoms?",{"text":121,"@type":113},"Several standing orders specify an initial dose and repeat dosing if the condition persists after a defined interval, and some entries also define maximum repeat 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\u003Cbr>syringe   | IV   | Narrow Complex Tachycardia,  \u003Cbr>with pulse and regular pattern,  \u003Cbr>rate greater than or equal to  \u003Cbr>150/min   | 12 mg rapid IV one time if tachycardia  \u003Cbr>≥150 persists more than 2 minutes,  \u003Cbr>may repeat once after approximately 3  \u003Cbr>minutes.   |\n| Albuterol   | 2.5mg/3 mL  \u003Cbr>solution   | Nebulized  \u003Cbr>oral  \u003Cbr>inhalation   | 1.Wheezing  \u003Cbr>2.Known asthma or COPD with  \u003Cbr>decreased breath sounds and  \u003Cbr>labored breathing  \u003Cbr>3.Smoke inhalation with  \u003Cbr>wheezing  \u003Cbr>4.Crush injury for elevated serum  \u003Cbr>potassium control   | Continuous nebulization of 6 mL(5  \u003Cbr>mg)concentration as tolerated   |\n| Albuterol   | Metered dose  \u003Cbr>inhaler(90 mcg  \u003Cbr>albuterol base)  \u003Cbr>single patient use   | Oral inhaled   | 1.Wheezing  \u003Cbr>2.Known asthma or COPD with  \u003Cbr>decreased breath sounds and  \u003Cbr>labored breathing  \u003Cbr>3.Smoke inhalation with  \u003Cbr>wheezing  \u003Cbr>4.Crush injury for elevated serum  \u003Cbr>potassium control   | 2 puffs inhaled every 2 hours until  \u003Cbr>symptoms clear;Single patient use  \u003Cbr>inhaler   |\n| Amiodarone   | 50 mg/1mL  \u003Cbr>solution   | IV   | Unstable Wide Complex  \u003Cbr>Tachycardia with pulse   | 150 mg slow IV,may repeat once after  \u003Cbr>approximately 3 minutes   |\n| Amiodarone   | 50 mg/1mL  \u003Cbr>solution   | IV/IO   | V-Fibrillation/Wide Complex  \u003Cbr>Tachycardia without a pulse   | 300 mg IV or IO,may repeat 150 mg  \u003Cbr>once after approximately 3 minutes   |\n| Aspirin   | 81mg tab or  \u003Cbr>325 mg tab   | PO   | Chest pain of suspected cardiac  \u003Cbr>origin   | four 81mg tabs (total 324 mg)or one  \u003Cbr>325 mg tab,swallowed or chewed,  \u003Cbr>once   |\n| Atropine   | 1 mg single dose  \u003Cbr>vial or prefill  \u003Cbr>syringe   | IV/IM   | Bradycardia,rate less than 60 and  \u003Cbr>symptomatic(poor perfusion  \u003Cbr>signs)   | 1 mg IV or IM,may repeat  \u003Cbr>approximately every 3 minutes for  \u003Cbr>continued symptomatic bradycardia to  \u003Cbr>maximum of 3mg   |\n| Atropine   | 1 mg single dose  \u003Cbr>vial or prefill  \u003Cbr>syringe   | IV/IM   | Organophosphate poisoning  \u003Cbr>(including nerve agent)suspected   | 2mgIV orIM,may repeat once   |\n| Dextrose   | 10%solution  \u003Cbr>(250 mL)   | IV/IO   | 1.Blood glucose equal to or less  \u003Cbr>than 60  \u003Cbr>2.Blood glucose less than 80 and  \u003Cbr>suspected hypoglycemia  \u003Cbr>3.Known diabetic in asystole orr  \u003Cbr>PEA with suspected hypoglycemia   | 250 mLIV or IO infusion   |\n| Diphenhydramine  \u003Cbr>(Benadryl@)   | 50 mg/mL  \u003Cbr>solution   | IM/IV/(IO)   | 1.Allergic reaction  \u003Cbr>2.Dystonic reaction to  \u003Cbr>medication(extrapyramidal  \u003Cbr>reaction)   | 50 mg IM or IV;but IO appropriate if  \u003Cbr>IO site already established for fluid  \u003Cbr>administration   |\n| Epinephrine   | 1 mg/1mL  \u003Cbr>solution   | IM   | Allergic Reaction(other than  \u003Cbr>simple rash or urticaria)   | 0.5 mg IM lateral thigh,may repeat in  \u003Cbr>approximately 5 minutes   |\n\nReview Dates:5/16;10/17;10/18;12/18;6/21  \nApproved:  \nGQ大,o  \n| MEDICATION   | FORM   | ROUTE   | INDICATION(S)   | STANDING ORDER   |\n| --- | --- | --- | --- | --- |\n| Epinephrine   | 1 mg/10 mL(0.1  \u003Cbr>mg/1 mL)solution   | IV/IO   | Allergic Reaction (other than  \u003Cbr>simple rash or urticaria)   | 0.3 mg IV/IO once approximately 5  \u003Cbr>minutes after IM epinephrine  \u003Cbr>administered if symptoms persist   |\n| Epinephrine   | 1 mg/10mL(0.1  \u003Cbr>mg/1 mL)solution   | IV/IO   | Cardiac arrest with VF,Wide  \u003Cbr>Complex Tachycardia,asystole,  \u003Cbr>PEA   | 1 mg IV or I0,may repeat for  \u003Cbr>continued VF,Wide Complex  \u003Cbr>Tachycardia,asystole,or PEA at  \u003Cbr>approximately 3 minute intervals   |\n| Fentanyl   | 100 mcg/2 mL  \u003Cbr>solution   | IN   | Pain control   | 100 mcg IN(1mLeach nostril);may  \u003Cbr>repeat once after 3 minutes for  \u003Cbr>continued pain.   |\n| Fentanyl   | 100 mcg/2 mL  \u003Cbr>solution   | IV   | Chest pain of suspected cardiac  \u003Cbr>origin that is not relieved with  \u003Cbr>nitroglycerin","cbCaia3WyZRm7hrF","https://ap.wps.com/l/cbCaia3WyZRm7hrF","pdf",390044,"English","# Medication Standing Orders\n## Medication, Form, Route, Indications\n## Standing Order Dosing Instructions (Dose, Repeat, Limits)","[{\"question\":\"How are standing orders structured in the document?\",\"answer\":\"Each entry lists the medication, its form, route, indication(s), and the standing order dosing instructions including repeat timing when needed.\"},{\"question\":\"Which routes of administration are included?\",\"answer\":\"The document includes IV, IO, IM, IN, PO, and nebulized/oral inhalation routes, with IO used when appropriate for access or fluid administration.\"},{\"question\":\"What dosing guidance is provided for persistent symptoms?\",\"answer\":\"Several standing orders specify an initial dose and repeat dosing if the condition persists after a defined interval, and some entries also define maximum repeat limits.\"}]","Medication Standing Orders - Rapid IV and IO/IM/IV Dosing Guide | PDF",1790164907,13]