Which analgesia option reflects the standing orders for morphine and fentanyl increments?

• A. Morphine 5 mg; Fentanyl 50 mcg
• B. Morphine 10 mg; Fentanyl 100 mcg
• C. Morphine 15 mg; Fentanyl 75 mcg
• D. Morphine 20 mg; Fentanyl 200 mcg

Answer: (B)

Analgesia dosing in standing orders is built around predefined increments that let you titrate safely and efficiently. The idea is to start with a dose that provides relief but still allows reassessment after each administration, so you can escalate in predictable steps if more pain control is needed. The combination of morphine 10 mg and fentanyl 100 mcg fits this approach, giving a clear, standard increment for both opioids that teams can use to step up analgesia in measured amounts. This pairing aligns with typical protocol practice, making it easier to follow intervals for additional dosing while watching for respiratory and hemodynamic effects. Other options propose smaller or larger initial increments that don’t match the conventional increment pattern used in many standing orders, so they’re less consistent with the standard protocol approach.