How many times can oral glucose be given to a pedi/adult on standing orders?

• A. Once
• B. Twice
• C. Three times
• D. Four times

Answer: (B)

The concept here is that oral glucose under standing orders is given to a conscious patient who can swallow and is suspected of being hypoglycemic, with a limit on how many times you can repeat it. You may administer a second dose if the patient remains symptomatic after reassessment following the first dose; the protocol allows a maximum of two administrations. After each dose, reassess the patient and monitor; if there’s no improvement after the second dose or the patient cannot swallow or loses consciousness, stop giving glucose and contact medical control or prepare for transport. This is why the correct answer is that oral glucose can be given twice.