For pediatric abdominal pain, which is a valid fentanyl dosing option via IV/IO slow push?

• A. 0.5 mcg/kg IV/IO Slow Push
• B. 1 mcg/kg IV/IO Slow Push
• C. 2 mcg/kg IV/IO Slow Push
• D. 1.5 mcg/kg IN/IM (Max 100 mcg)

Answer: (B)

Fentanyl dosing for pediatric pain relief is weight-based and must use the correct route with a controlled administration rate. When given through IV or IO access, the standard starting bolus is 1 microgram per kilogram, delivered as a slow push. This approach provides rapid analgesia while allowing the clinician to monitor the child for respiratory depression and changes in consciousness, which is crucial in kids who can react differently to opioids. The dose is kept within safe limits by a practical maximum per dose, and the slow push helps prevent sudden high plasma levels.

The other options either use a higher per-kilogram dose that increases risk, or specify a route other than IV/IO (which isn’t applicable to this scenario).