Standardized Procedure- Emergency Standing Orders at Sharp
Healthcare EXAM Questions & Answers | 100% Verified solutions
|Questions with Correct Answers 2025 latest update
ASYSTOLE - ✔✔1. CPR (2 min)
2. O2 at 15ml/min ambu bag (8-10 breaths/min)
3. Epinephrine (1:10,000) 1mg IVP/IO, repeat q3-5 min as long as
asystole persists.
BRADYCARDIA UNSTABLE (Heart Rate <60bpm) - ✔✔1. O2 at
minimum 10ml/mim NRBM
2. If transvenous leads or epicardial pacing wires present, connect to a
pulse generator and initiate pacing control.
3. Atropine 0.5mg IVP/IO, repeat q3-5min up to a total of 0.04mg/kg
(or 3mg)
4. Transcutaneous pacing as soon as available
5. If above algorithm is ineffective, start dopamine 400mg/250ml
D5W infusion at 5mcg/kg/minute. Titrate until SBP =/> 90mmHg
and/or MAP >60mmHg up to 20mcg/kg/min.
6. If no response from above algorithm, initiate Isuprel infusion 1-
10mcg/min IV/IO)
CHEST PAIN - ✔✔1. Consider giving aspirin 325mg, if no dose was
given on this date
2. O2 start at minimum 4L/min NC
, 3. NTG 0.4mg SL if BP >/= 90 mmHG and /pr MAP >60mmHg and HR
>50,may repeat every 3-5min x 2.
4. Morphine Suldate 2mg, if SBP >/= 90, IVP/IO q5 min up to a total of
10mg
5. 12 Lead EKG
Circulation, Airway,Breathing - ✔✔CPR- cardiopulmonary
resuscitation which includes Circulation with compressions , airway
assessment and breathing. Compressions are administered for 2
minutes at >100 compressions/min between all interventions. During
CPR, O2 should be delivered by 15L inspired O2 by bag mask (8-10
breaths/min)
DOCUMENTATION - ✔✔Will be made by RN performing ESO
standardized procedure including:
Unstable or life-threatening condition, precipitating factors if any,
treatment/medications administered, biphasic defibrillation or joules,
pt's response to interventions, and when/which physician was
notified. Code blue will be completed for all cardiac and respiratory
arrest events. The RRT record will be completed for all RRT events
that utilize ESOs.
Emergency Standing Orders (ESO) - ✔✔Preestablished medical orders,
approved by appropriate medical staff to be administered in the
absence of a physician. These orders specify emergent treatment
interventions for life threatening conditions.
Healthcare EXAM Questions & Answers | 100% Verified solutions
|Questions with Correct Answers 2025 latest update
ASYSTOLE - ✔✔1. CPR (2 min)
2. O2 at 15ml/min ambu bag (8-10 breaths/min)
3. Epinephrine (1:10,000) 1mg IVP/IO, repeat q3-5 min as long as
asystole persists.
BRADYCARDIA UNSTABLE (Heart Rate <60bpm) - ✔✔1. O2 at
minimum 10ml/mim NRBM
2. If transvenous leads or epicardial pacing wires present, connect to a
pulse generator and initiate pacing control.
3. Atropine 0.5mg IVP/IO, repeat q3-5min up to a total of 0.04mg/kg
(or 3mg)
4. Transcutaneous pacing as soon as available
5. If above algorithm is ineffective, start dopamine 400mg/250ml
D5W infusion at 5mcg/kg/minute. Titrate until SBP =/> 90mmHg
and/or MAP >60mmHg up to 20mcg/kg/min.
6. If no response from above algorithm, initiate Isuprel infusion 1-
10mcg/min IV/IO)
CHEST PAIN - ✔✔1. Consider giving aspirin 325mg, if no dose was
given on this date
2. O2 start at minimum 4L/min NC
, 3. NTG 0.4mg SL if BP >/= 90 mmHG and /pr MAP >60mmHg and HR
>50,may repeat every 3-5min x 2.
4. Morphine Suldate 2mg, if SBP >/= 90, IVP/IO q5 min up to a total of
10mg
5. 12 Lead EKG
Circulation, Airway,Breathing - ✔✔CPR- cardiopulmonary
resuscitation which includes Circulation with compressions , airway
assessment and breathing. Compressions are administered for 2
minutes at >100 compressions/min between all interventions. During
CPR, O2 should be delivered by 15L inspired O2 by bag mask (8-10
breaths/min)
DOCUMENTATION - ✔✔Will be made by RN performing ESO
standardized procedure including:
Unstable or life-threatening condition, precipitating factors if any,
treatment/medications administered, biphasic defibrillation or joules,
pt's response to interventions, and when/which physician was
notified. Code blue will be completed for all cardiac and respiratory
arrest events. The RRT record will be completed for all RRT events
that utilize ESOs.
Emergency Standing Orders (ESO) - ✔✔Preestablished medical orders,
approved by appropriate medical staff to be administered in the
absence of a physician. These orders specify emergent treatment
interventions for life threatening conditions.
