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What is what are the EMT/EMT-INTERMEDIATE STANDING ORDERS for Acute Coronary Syndrome- Adult  and explain in detail?
1.  Routine Patient Care 2.  Aspirin 324 mg. Check allergy status. Check contraindications. 3. Nitroglycerin Give glyceryl trinitrate 0.4 mg sublingual or equivalent every 5 min up to 3 doses as SBP allows. Begin IV dosing at 10 micro-grams min-1 in persistent pain or pulmonary edema; titrate to desired BP effect. IV must be established before administration of nitroglycerin 4. Must be patients own NTG 5. SBP must be >100mmHg Oxygen treatment should not be routinely administered. DO NOT administer oxygen to patients with an ST elevation acute coronary syndrome unless they: 1. Are breathless 2. Are hypoxic, i.e. oxygen saturation < 93% 3. Have heart failure 4. Are in cardiogenic shock