Intramuscular injections are administered at a 90-degree angle to the skin, preferably into the anterolateral aspect of the thigh or the deltoid muscle of the upper arm, depending on the age of the patient (Table 6-2). The needle gauge for intramuscular injection is 22-25 gauge.
What size needle is used for flu vaccine?
Influenza vaccines are not highly viscous, so a fine-gauge (22- to 25-gauge) needle can be used. Use a ⅝- to 1-inch needle for men and women who weigh less than 130 pounds (60 kg). Insert the needle at a 90-degree angle and stretch the skin flat between thumb and forefinger.
How do you give an IM injection to a child?
Hold the syringe like a dart or pencil. Stretch the skin at the injection site. If your child is thin you may need to pinch the tissue between your thumb and index finger.
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Release the skin.
- Gently push on the plunger until all the medicine is injected.
- Take the needle and syringe out. …
- Gently massage the injection site.
What size syringe is used for intramuscular injections?
A 1” needle is sufficient in adults weighing 130–152 lbs (60–70 kg). A 1–1½” needle is recommended in women weighing 152–200 lbs (70–90 kg) and men weighing 152–260 lbs (70–118 kg). A 1½” needle is recommended in women weighing more than 200 lbs (90 kg) or men weighing more than 260 lbs (118 kg).
What size needle length is used for intramuscular injections for older children and adults?
Adults, 19 years and older
5 The vastus lateralis muscle in the anterolateral thigh can also be used. Most adolescents and adults will require a 1- to 1.5-inch (25–38 mm) needle to ensure intramuscular administration.
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Is flu shot IM or SQ?
Typically, the regular seasonal flu shot is given intramuscularly (IM), meaning it’s injected into the muscle. However, a subcutaneous (SQ) version of the shot has become available for the 2011 to 2012 flu season. It’s given with a smaller needle and is injected into the skin.
How do you administer a flu shot in the deltoid?
Injection site
Give in the central and thickest portion of the deltoid muscle – above the level of the armpit and approximately 2–3 fingerbreadths (~2″) below the acromion process. See the diagram. To avoid causing an injury, do not inject too high (near the acromion process) or too low.
How far do you insert needle for intramuscular injection?
The needle should be long enough to reach the muscle without penetrating the nerves and blood vessels underneath. Generally, needles should be 1 inch to 1.5 inches for an adult, and will be smaller for a child.
How do you give a deltoid injection to a child?
Intramuscular (IM) Injection: Supplies (Children Birth Through 18 Years of …
When would it be appropriate to use a 16 mm needle length to give a vaccine?
Only in pre-term or very small infants is a 16mm needle suitable for IM injection. In larger adults, a longer length (e.g. 38mm) may be required, and an individual assessment should be made (Poland et al., 1997, Zuckerman, 2000). Intradermal injections should only be administered using a 26G, 10mm (brown) needle.
Is a 21 or 25 gauge needle bigger?
The needle gauge becomes a consideration when the vein of the patient is narrow, fragile, or superficial. In such cases, a gauge size with a LARGER number (eg, 25 G) may be preferred over a routine needle gauge (eg, 21 G) to minimize damage to the blood vessel, as well as minimize the associated pain with collection.
What is a 27 gauge needle used for?
Injection Route
Subcutaneous injection (SC): Injected into the fatty tissue under the skin. Usually given with 27-, 28-, or 30-gauge 0.5-inch needles.
What is a 23 gauge needle used for?
23 Gauge Needles
23g needles, also known as butterflies, are used when a person’s vein is much narrower than average. It is light blue color coded. Despite the phlebotomist’s efforts to anchor the vein, the patient may be unwell or have minimal sites to choose a vein from, requiring a smaller needle.
How big is a 22 gauge needle?
Needle gauge table
| Needle gauge | Outer diameter (inches) | Inner diameter (mm) |
|---|---|---|
| 21 | 0.03225 | 0.514 |
| 22 | 0.02825 | 0.413 |
| 22s | 0.02825 | 0.152 |
| 23 | 0.02525 | 0.337 |
Can you give 2 mL in deltoid?
The deltoid site is mostly commonly used for immunizations. However, up to 1 mL of any medication may be administrated to this muscle (the maximum volume should never exceed 2 mL).
Is flu vaccine given intramuscular?
“Almost all inactivated vaccines [including most variants of the flu shot] are administered by the intramuscular route. Many inactivated vaccines contain an adjuvant, which is a vaccine component that enhances the immune response to the antigen.
How do you give a flu shot to a child?
Each dose is one squirt into each nostril.
- If your child is under 9 years of age and has received any flu vaccine before, they will only need 1 dose.
- If your child is under 9 years of age and hasn’t received a flu vaccine before, they will need 2 doses, given at least 4 weeks apart.
What happens if an intramuscular injection is given subcutaneously?
Subcutaneous injections can lead to localised cellulitis, granuloma formation and abscess. The COVID-19 vaccine has shown to have high efficacy if given correctly intramuscularly. Subcutaneous injection can happen inadvertently (figure 1), affecting efficacy of vaccination and potentiate local adverse events.
How do I give myself an intramuscular injection?
How to Give Yourself an Intramuscular Injection – YouTube
Why is the deltoid muscle used for intramuscular injection?
Most vaccines should be given via the intramuscular route into the deltoid or the anterolateral aspect of the thigh. This optimises the immunogenicity of the vaccine and minimises adverse reactions at the injection site.
How do you aspirate an IM injection?
Once you have found your injection site, sanitized it, and prepped it, you can slowly insert your needle as normal. Do not release any fluid into the injection site though. Slowly pull back on the syringe for about three seconds to aspirate the needle.
How do you give an intramuscular injection without pain?
There are some tips that can make giving an injection less painful:
- Allow the medicine to come to room temperature (but do not heat it).
- Always use a new needle. Used ones are not only unsterile but can be blunt.
- Position the needle at 90 degrees to the injection site.
- Stick the needle in quickly.
What was 6 needles for?
The 6-in-1 vaccine used in the UK gives protection against these six serious diseases: diphtheria, tetanus, whooping cough (pertussis), polio, Hib disease (Haemophilus influenzae type b) and hepatitis B.
What is a 25 gauge needle used for?
The length of a needle is listed after the gauge number. For example, 25G ½ refers to a 25 gauge, ½ inch-long needle. Longer needles (½ inch or longer) are commonly used for intramuscular injections, while shorter (shorter than ½ inch) needles are more often used for intravenous injections.
What is a 26 gauge needle used for?
These are regular-walled medical point needles. They are for intramuscular, subcutaneous, and other injections and are available in a wide range of gauges and lengths. They have an oversized chrome plated luer lock hub.
Which is smaller 23 or 25 gauge needle?
The gauge size of a needle indicates what the diameter of the lumen (opening) is. The higher the gauge, the smaller the diameter.
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Plastic (Straight 0.25″, 0.5″, or 1.0″)
| Gauge Size | Inner Diameter (mm) | Color |
|---|---|---|
| 23 | 0.330 | Orange |
| 24 | 0.300 | Blue-Green |
| 25 | 0.250 | Red |
| 26 | 0.240 | Peach |
What is a 22 gauge needle used for?
A 22-gauge 3.8-cm (1.5 in.) needle is used for superficial muscles. When capillary fragility with bleeding is a concern, a thinner 25-gauge needle may be preferred.
What is the difference between 22G and 25G needles?
Summary of evidence. In our study, the sensitivity of the 25G needle was 93%, while that for the 22G needle was 91%, and there was no statistically significant difference between the needles.
What are 28 gauge needles used for?
These are regular-walled medical point needles. They are for intramuscular, subcutaneous, and other injections and are available in a wide range of gauges and lengths.
What are 30 gauge needles used for?
Thirty-gauge needles are commonly used for injections of soluble agents because the smaller gauge causes less pain and tissue trauma. Recently, patients with diabetes have been using 31-gauge needles for insulin injections and blood glucose testing.
What are 14 gauge needles used for?
These are regular-walled medical point needles. They are for intramuscular, subcutaneous, and other injections and are available in a wide range of gauges and lengths. They have an oversized chrome plated luer lock hub.
How big is a 21 gauge needle?
Needle Gauge Chart
| Gauge Number | Needle Nominal O.D. (mm) | Needle Nominal I.D. (mm) |
|---|---|---|
| 22 gauge needle | 0.718 | 0.413 |
| 21 gauge needle | 0.819 | 0.514 |
| 20 gauge needle | 0.908 | 0.603 |
| 19 gauge needle | 1.067 | 0.686 |
What is the smallest gauge needle for injections?
The smallest, commercially available tip is 36-gauge. The tip is so small that it can be inserted into the opening of the 33-gauge needle tip.
Which is bigger 20g or 22g needle?
20 Gauge: You may be able to push blood* through this size if you can’t use an 18 gauge, but always check your employer’s protocol. This size is better for patients with smaller veins. 22 Gauge: This small size is good for when patient’s won’t need an IV long and aren’t critically ill.
Which is bigger 20 gauge or 22 gauge?
20 gauge is thicker wire than 22 gauge. Thick enough to be bold, but still easy to slip through your piercing.
What is 7 gauge needle used for?
Intramuscular injections require extended needle lengths. Needle lengths for intramuscular injections are usually 7/8 to 1-1/2 inches. Subcutaneous injections call for a 1/2 to 5/8 inch needle.
Do you aspirate IM injection 2021?
Usual sites for delivering an IM injection include the deltoid, vastus lateralis, ventrogluteal and dorsogluteal muscles. The first 3 are recommended due to their avoidance of any proximity to major blood vessels and nerves. Aspiration is NOT required for these sites.
What is the maximum volume for intramuscular injection recommended for a preschool aged child?
Needle gauge: 25 Needle gauge: 25-27 Needle gauge: 25-27 Volume: Volume: 0.5 – 1 mL Volume: 0.5 – 1 mL *no more than 0.1 mL for intradermal *no more than 0.5 mL for small child * no more than 1 mL preschool or school-aged child ‘Follow manufacture’s instructions for required administration sites.
What is the maximum volume for intramuscular injection pediatric?
The maximum volume should not exceed 1 mL. If the skin is stretched flat, a 1/2 inch needle is sufficient.