Naloxone may be given to a pediatric patient only if they weigh at least 35 kg.

• A. 20 kg
• B. 25 kg
• C. 35 kg or more
• D. 45 kg

Answer: (D)

Naloxone dosing in pediatric patients is often guided by weight, but some EMS protocols also specify a minimum weight to administer, especially when using fixed-dose or standardized delivery methods in the field. In this item, the protocol requires a minimum weight of 45 kilograms for naloxone administration. That makes 45 kg or more the correct choice, because anything below that weight does not meet the stated minimum and would not qualify under this guideline. For a patient at or above 45 kg, you would proceed with the prescribed dose per protocol, using weight-based calculations or the standard fixed dose as directed, and monitor the response. The lighter weight options fall short of the required threshold.