What is the recommended administration rate for methylprednisolone in this context?

• A. Oral administration
• B. Fast IV push over 5 seconds
• C. Slow IV or IO push over 1 minute
• D. Intramuscular deep injection

Answer: (C)

Delivering methylprednisolone through IV or IO at a controlled pace is important for safety and effectiveness in this setting. A slow push over about one minute allows the drug to enter the circulation smoothly, reducing the risk of sudden hemodynamic changes that can occur with a rapid bolus and giving clinicians a chance to monitor the patient for adverse effects as the medication begins to take effect. Oral administration isn’t practical when the patient can’t swallow or is unconscious, and intramuscular deep injection often yields slower, less reliable absorption and greater potential tissue irritation. A deliberate, one-minute IV/IO administration provides timely systemic exposure with better tolerability and monitoring.