Needle Gauge Resource List

Total Page：16

File Type：pdf, Size：1020Kb

Needle Gauge Resource List COMMON USES FOR NEEDLE BY GAUGE SIZE Overview: There is currently no peer-reviewed research showing which needles work best in different situations. This resource comes from the Harm Reduction Coalition and Syringe Service Programs in Minnesota. The information here can serve as a starting point, but individual preferences may vary. The gauge (abbreviated as “G”) of a needle refers to the size of the hole in the needle. The higher the gauge, the smaller the hole. Needles come in various gauges and lengths. 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. Different sized needles are used for different purposes. For areas of the body with smaller veins like the hands or feet, a higher gauge needle or butterfly needle is commonly used. Please use the table below to understand what gauge needle is commonly used for different purposes (e.g., intramuscular injection, intravenous injection). Needle Gauge Resource List Needle Gauge: Needle Length: Used for: 18 1 Inch Transferring intramuscular hormones from vial to syringe 21 Intramuscular injections (e.g., naloxone, steroids, hormones) 22 ½ inch Intramuscular injections (hormones) Intramuscular injections (e.g., naloxone, steroids, hormones), 23 1 Inch methadone Intravenous drug use, intramuscular hormone administration, 25 1 Inch Intravenous crushed pills 27 ½ inch Standard insulin set, intravenous drug use 28 ½ inch Standard insulin set, intravenous drug use 29 ½ inch Intravenous drug use 5 30 ½ or /16 inch Intravenous drug use 5 31 /16 inch Intravenous drug use Minnesota Department of Health STD/HIV/TB Section 651-201-5414 www.health.state.mn.us/syringe 11/7/2019, To obtain this information in a different format, call: 651-201-5414. .

Copy Link

Recommended publications

An Intramuscular Injection Is an Injection Given Directly Into The
Depo Lupron and Testosterone are both given by intramuscular injection. The following is a guideline on their administration. Eileen Durham, RN, NP Version 12 Jan 2010 Description Intramuscular (IM) injections are given directly into the central area of selected muscles. There are a number of sites that are suitable for IM injections; there are three sites that are most commonly used in this procedure described below. The volume of viscosity of the medication to be injected determines the site that should be used. IM injections cause stretching of the muscle fiber so the larger the muscle used the less discomfort. Intramuscular Injection Sites Depo Lupron Depo Lupron 3 month preparation should only be injected into the Gluteus medius due to the viscosity and volume of the medication approx. 1.5 – 2 cc. Depo Lupron 1 month preparation can be injection into the vastus lateralis or the gluteus medius. Testosterone Testosterone administered to adolescents and adults can be injected into any of the sites listed below, as long as the volume is 1 cc or less. For a volume of 1.5 use the vastus lateralis or Gluteus medius, if the volume is 2 cc you must you the largest muscle the Gluteus medius. If the volume is greater then 2 cc you must divide the dose and give 2 injections as the maximum volume in the Gluteal muscle is 2 cc. Testosterone administered to infants and toddlers use only the anteriolateral aspect of the thigh. Deltoid muscle The deltoid muscle located laterally on the upper arm can be used for intramuscular injections.
[Show full text]
Intravenous Therapy Procedure Manual
INTRAVENOUS THERAPY PROCEDURE MANUAL - 1 - LETTER OF ACCEPTANCE __________________________________________ hereby approves (Facility) the attached Reference Manual as of _____________________. (Date) The Intravenous Therapy Procedure Manual will be reviewed at least annually or more often when deemed appropriate. Revisions will be reviewed as they occur. Current copies of the Intravenous Therapy Procedure Manual shall be maintained at each appropriate nursing station. I have reviewed this manual and agree to its approval. __________________________ (Administrator) __________________________ (Director of Nursing) __________________________ (Medical Director) - 2 - TABLE OF CONTENTS TABLE OF CONTENTS INTRODUCTION A. Purpose 1 B. Local Standard of Practice 1 RESPONSIBILITIES A. Responsibilities: M Chest Pharmacy 1 B. Responsibilities: Administrator 1 C. Responsibilities: Director of Nursing Services (DON/DNS) 1 D. Skills Validation 2 AMENDMENTS GUIDELINES A. Resident Candidacy for IV Therapy 1 B. Excluded IV Medications and Therapies 1 C. Processing the IV Order 1 D. IV Solutions/Medications: Storage 2 E. IV Solutions/Medications: Handling 3 F. IV Solutions and Supplies: Destroying and Returning 4 G. IV Tubing 5 H. Peripheral IV Catheters and Needles 6 I. Central Venous Devices 7 J. Documentation and Monitoring 8 K. IV Medication Administration Times 9 L. Emergency IV Supplies 10 I TABLE OF CONTENTS PROTOCOLS A. IV Antibiotic 1 1. Purpose 2. Guidelines 3. Nursing Responsibilities B. IV Push 2 1. Purpose 2. Guidelines C. Anaphylaxis Allergic Reaction 4 1. Purpose 2. Guidelines 3. Nursing Responsibilities and Interventions 4. Signs and Symptoms of Anaphylaxis 5. Drugs Used to Treat Anaphylaxis 6. Physician Protocol PRACTICE GUIDELINES A. Purpose 1 B. Personnel 1 C. Competencies 1 D.
[Show full text]
Sodium Chloride Injection USP 0.9% Prefilled Syringes, for Intravascular Use Only ------WARNINGS and PRECAUTIONS ------Initial U.S
HIGHLIGHTS OF PRESCRIBING INFORMATION --------------------- DOSAGE FORMS AND STRENGTHS --------------------- These highlights do not include all the information needed to use • Supplied as a clear, colorless, odorless, sterile solution of Sodium Sodium Chloride Injection USP 0.9% safely and effectively. See Chloride 0.9% for intravenous administration (3) full prescribing information for Sodium Chloride Injection USP • Supplied in 50 mL and 125 mL prefilled syringes (3) 0.9%. ------------------------------- CONTRAINDICATIONS ------------------------------- • None (4) Sodium Chloride Injection USP 0.9% Prefilled Syringes, For Intravascular Use Only ----------------------- WARNINGS AND PRECAUTIONS ----------------------- Initial U.S. Approval: 2006 • Remove all air from the syringe and associated tubing prior to injection. (5.1) ----------------------------INDICATIONS AND USAGE ---------------------------- • For use in flushing compatible contrast agents through Liebel- • May cause fluid overload in patients with congestive heart failure, Flarsheim intravenous administration sets into indwelling severe renal insufficiency, and in clinical states with edema, sodium retention, or hypernatremia. (5.3) intravascular access devices (1) • Establish intravascular catheter patency prior to administration. ----------------------- DOSAGE AND ADMINISTRATION ----------------------- (5.4) • For single patient use only. (2) • Determine the volume of flush based on the imaging procedure, ------------------------------ ADVERSE REACTIONS ------------------------------
[Show full text]
Injection Technique 1: Administering Drugs Via the Intramuscular Route
Copyright EMAP Publishing 2018 This article is not for distribution except for journal club use Clinical Practice Keywords Intramuscular injection/ Medicine administration/Absorption Practical procedures This article has been Injection technique double-blind peer reviewed Injection technique 1: administering drugs via the intramuscular route rugs administered by the intra- concerns that nurses are still performing Author Eileen Shepherd is clinical editor muscular (IM) route are depos- outdated and ritualistic practice relating to at Nursing Times. ited into vascular muscle site selection, aspirating back on the syringe Dtissue, which allows for rapid (Greenway, 2014) and skin cleansing. Abstract The intramuscular route allows absorption into the circulation (Dough- for rapid absorption of drugs into the erty and Lister, 2015; Ogston-Tuck, 2014). Site selection circulation. Using the correct injection Complications of poorly performed IM Four muscle sites are recommended for IM technique and selecting the correct site injection include: administration: will minimise the risk of complications. l Pain – strategies to reduce this are l Vastus lateris; outlined in Box 1; l Rectus femoris Citation Shepherd E (2018) Injection l Bleeding; l Deltoid; technique 1: administering drugs via l Abscess formation; l Ventrogluteal (Fig 1, Table 1). the intramuscular route. Nursing Times l Cellulitis; Traditionally the dorsogluteal (DG) [online]; 114: 8, 23-25. l Muscle fibrosis; muscle was used for IM injections but this l Injuries to nerves and blood vessels muscle is in close proximity to a major (Small, 2004); blood vessel and nerves, with sciatic nerve l Inadvertent intravenous (IV) access. injury a recognised complication (Small, These complications can be avoided if 2004).
[Show full text]
22428 Moxifloxacin Statisical PREA
U.S. Department of Health and Human Services Food and Drug Administration Center for Drug Evaluation and Research Office of Translational Science Office of Biostatistics S TATISTICAL R EVIEW AND E VALUATION CLINICAL STUDIES NDA/Serial Number: 22,428 Drug Name: Moxifloxacin AF (moxifloxacin hydrochloride ophthalmic solution) 0.5% Indication(s): Treatment of bacterial conjunctivitis Applicant: Alcon Pharmaceuticals, Ltd. Date(s): Letter date:21 May 2010; Filing date: 18 June, 2010; PDUFA goal date: 19 November 2010 Review Priority: Priority Biometrics Division: Anti-infective and Ophthalmology Products Statistical Reviewer: Mark. A. Gamalo, Ph.D. Concurring Reviewers: Yan Wang, Ph.D. Medical Division: Anti-infective and Ophthalmology Products Clinical Reviewer: Lucious Lim, M.D. Project Manager: Lori Gorski Keywords: superiority, Moxifloxacin hydrochloride ophthalmic solution, bacterial conjunctivitis, bulbar conjunctival injection, conjunctival discharge/exudate TABLE OF CONTENTS TABLE OF CONTENTS................................................................................................................ 2 LIST OF TABLES.......................................................................................................................... 3 1. EXECUTIVE SUMMARY ...................................................................................................... 4 1. 1 Conclusions and Recommendations..................................................................................... 4 1. 2 Brief Overview of Clinical Studies .....................................................................................
[Show full text]
Self-Administering a Vitamin B12 Injection
Self-administering a Vitamin B12 injection This is usually given as an intramuscular injection, every 2-3 months. Alternatives to an intramuscular injection are: Oral Vitamin B12 at a dose of at least 1000mcg per day. • Available as tablets or a spray. They can be bought over the counter and available at most health food stores and pharmacies. • Oral Vitamin B12 is not recommended if: - If you have a bowel condition such as inflammatory bowel disease, Coeliac disease, small bowel overgrowth, bile acid malabsorption and short bowel (you will require injections) - You require an initial loading of B12 (soon after diagnosis) It is important to monitor your symptoms if you change to oral B12. If symptoms return, then the oral/sublingual dose can be increased to 2000mcg or you may need to consider starting back on injections. https://www.hollandandbarrett.com/shop/product/betteryou-pure-energy-b12-boost-oral-spray-60099160?skuid=099160 https://www.hollandandbarrett.com/search?query=%20Vitamin%20B12%20Tablets&utm_medium=cpc&utm_source=google&isSearch=true# gclid=EAIaIQobChMIh5nLgOH26AIVxLTtCh0JIA_GEAAYASAAEgJL-fD_BwE&gclsrc=aw.ds Subcutaneous (SC) injection; this is off-licence but still effective. It is considered an easier method of administration. It is how insulin and blood thinning medication are usually self-administered. Equipment needed to self-inject - Prescribed medicine - 1 syringe (2 ml) - 2 needles (1 for drawing up the drug and 1 for administration – you can use the same size needle for both). o For an IM injection; the needle gauge should be 19-25. The needle length is 1- 1 ½ inches (up to 3 inches for larger adults) o For a SC injection; the needle gauge should be 25-27.
[Show full text]
Informed Consent for Medication, Zyprexa
DEPARTMENT OF HEALTH SERVICES STATE OF WISCONSIN Division of Care and Treatment Services 42 CFR483.420(a)(2) F-24277 (09/2016) DHS 134.31(3)(o) DHS 94.03 & 94.09 §§ 51.61(1)(g) & (h) INFORMED CONSENT FOR MEDICATION Dosage and / or Side Effect information last revised on 04/16/2021 Completion of this form is voluntary. If not completed, the medication cannot be administered without a court order unless in an emergency. This consent is maintained in the client’s record and is accessible to authorized users. Name – Patient / Client (Last, First MI) ID Number Living Unit Date of Birth , Name – Individual Preparing This Form Name – Staff Contact Name / Telephone Number – Institution ANTICIPATED RECOMMENDED MEDICATION CATEGORY MEDICATION DOSAGE DAILY TOTAL DOSAGE RANGE RANGE Antipsychotic / Bipolar Agent Zyprexa oral tablet; Oral: 2.5 mg-50 mg with most doses in Zyprexa Zydis oral the 2.5 mg-20 mg range disintegrating tablet; IM: 5 mg-10 mg per dose, up to 3 doses Zyprexa Intramuscular 24 hours Injection; Long Acting Injectable: 150 mg-300 mg Zyprexa Relprevv IM every 2 weeks, Intramuscluar Injection 300 mg-405 mg IM every 4 weeks (olanzapine) The anticipated dosage range is to be individualized, may be above or below the recommended range but no medication will be administered without your informed and written consent. Recommended daily total dosage range of manufacturer, as stated in Physician’s Desk Reference (PDR) or another standard reference. This medication will be administered Orally Injection Other – Specify: 1. Reason for Use of Psychotropic Medication and Benefits Expected (note if this is ‘Off-Label’ Use) Include DSM-5 diagnosis or the diagnostic “working hypothesis.” 2.
[Show full text]
Aerogen Nebulizer)
Page 1 of Date of Original: 11/15/18 Date of Review: Date of Revision: 9/4/19 Respiratory Therapy POLICY & PROCEDURE MANUAL RIBAVIRIN ADMINISTRATION (Aerogen nebulizer) PURPOSE: 1. Standardize the administration and delivery of ribavirin by aerosol 2. To protect the patient and caregivers by standardizing precautions for ribavirin delivery POLICY: The patient room must be set up according to St Jude’s Environmental Health and Safety policy prior to the administration of Ribavirin. Room preparation is to be done by the nursing staff. *See procedure section below https://home.stjude.org/ehs/Pages/ribavirin-precautions.aspx • Negative pressure room is mandatory for Ribavirin administration. • Preparation of the room is the responsibility of the nursing staff. • Ribavirin will be delivered from pharmacy in primed Aerogen syringe set appropriate for use on the MedFusion 3500 syringe pump. • The syringe pumps will be used, maintained, and stored by the respiratory therapy department. • The PPE cart is the shared responsibility of the respiratory therapist who administers the first dose of ribavirin and the nursing coordinator for that area. • Proper sign including contact precautions and STOP will be shared responsibility of the nursing and respiratory care. • All instances of spilled or leaked ribavirin must be documented in the event reporting system. • Ribavirin may be delivered to a patient during mechanical ventilation in a very specific set of circumstances. The final decision on the use of ribavirin is at the discretion of the ICU physician on service. EQUIPMENT: • Negative pressure room • DeMistifier 2000 HEPA filtration system. • DeMistifier negative pressure bed enclosure with canopy. • MedFusion 3500 Syringe pump • Flowmeter • Aerogen vibrating mesh nebulizer • Delivery Supplies (O2 tubing, O2 reducer, large bore tubing, T adaptor, and aerosol face mask) • Prescribed medication • STOP sign for the door during drug administration PPE • N95 or Positive Air Pressure mask required • Chemo resistant Gown • Double Gloves • Shoe covers PROCEDURE: 1.
[Show full text]
Product Monograph
PRODUCT MONOGRAPH Pr SANDOZ ONDANSETRON ODT Ondansetron Orally Disintegrating Tablets 4 mg and 8 mg ondansetron Manufacturer Standard Pr SANDOZ ONDANSETRON Ondansetron Tablets 4 mg and 8 mg ondansetron (as ondansetron hydrochloride dihydrate) Manufacturer Standard PrONDANSETRON INJECTION USP (ondansetron hydrochloride dihydrate) 2 mg/mL PrONDANSETRON HYDROCHLORIDE DIHYDRATE INJECTION Ondansetron Injection Manufacturer Standard 2 mg/mL Ondansetron (as ondansetron hydrochloride dihydrate) for injection Antiemetic (5-HT3-receptor antagonist) Sandoz Canada Inc. Date of Preparation: 145 Jules-Léger September 26, 2016 Boucherville, Québec, Canada J4B 7K8 Control No.: 198381 Ondansetron by Sandoz Page 1 of 43 Table of Contents PART I: HEALTH PROFESSIONAL INFORMATION .......................................................... 3 SUMMARY PRODUCT INFORMATION ................................................................................. 3 INDICATIONS AND CLINICAL USE ....................................................................................... 4 CONTRAINDICATIONS ............................................................................................................ 4 WARNINGS AND PRECAUTIONS .......................................................................................... 5 ADVERSE REACTIONS ............................................................................................................ 7 DRUG INTERACTIONS ............................................................................................................
[Show full text]
How to Administer Intramuscular and Subcutaneous Vaccines to Adults
How to Administer Intramuscular and Subcutaneous Vaccine Injections to Adults Intramuscular (IM) Injections Administer these vaccines via IM route • Haemophilus influenzae type b (Hib) • Hepatitis A (HepA) • Hepatitis B (HepB) • Human papillomavirus (HPV) acromion process (bony prominence above deltoid) • Influenza vaccine, injectable (IIV) • level of armpit • Influenza vaccine, recombinant (RIV3; RIV4) • Meningococcal conjugate (MenACWY) IM injection site • Meningococcal serogroup B (MenB) (shaded area = deltoid muscle) • Pneumococcal conjugate (PCV13) • Pneumococcal polysaccharide (PPSV23) – elbow may also be given Subcut • Polio (IPV) – may also be given Subcut • Tetanus, diphtheria (Td), or with pertussis (Tdap) • Zoster, recombinant (RZV; Shingrix) 90° angle Injection site skin Give in the central and thickest portion of the deltoid muscle – above the level of the armpit and approximately subcutaneous tissue 2–3 fingerbreadths (~2") below the acromion process. See the diagram. To avoid causing an injury, do not inject muscle too high (near the acromion process) or too low. Needle size Note: A ⅝" needle is sufficient in adults weighing less than 130 lbs (<60 kg) for IM injection in the deltoid muscle only if the subcutane- 22–25 gauge, 1–1½" needle (see note at right) ous tissue is not bunched and the injection is made at a 90° angle; Needle insertion a 1" needle is sufficient in adults weighing 130–152 lbs (60–70 kg); a 1–1½" needle is recommended in women weighing 153–200 lbs • Use a needle long enough to reach deep into the muscle. (70–90 kg) and men weighing 153–260 lbs (70–118 kg); a 1½" needle • Insert the needle at a 90° angle to the skin with a quick is recommended in women weighing more than 200 lbs (91 kg) or thrust.
[Show full text]
IFU for Bioglue Surgical Adhesive (Outside USA)
Instructions for Use Syringe BioGlue® Adhésif BioGlue® Collante Chirurgico Adhesivo Quirúrgico Chirurgical Mode Chirurgischer Klebstoff BioGlue® Istruzioni d’uso BioGlue® Instrucciones d’emploi Seringue Gebrauchsanwei sung Siringa de Uso Jeringuilla Spritze BioGlue® Adesivo BioGlue® Kirurgisk BioGlue® Kirurgisk Lim BioGlue® Vävnadslim Cirúrgico Instruções de Klæbemiddel Bruksanvisning Sprøyte Bruksanvisning Spruta Utilização Seringa Brugsanvisning Sprøjte Χειρουργική συγκολλητική BioGlue® Cerrahi Chirurgické adhezivum BioGlue® ουσία BioGlue® Οδηγίες Yapışkan Kullanım BioGlue® Návod k použití Chirurgische Kleefstof χρήσης Σύριγγα Talimatları Şırınga Stříkačka Gebruiksinstructies Spuit Chirurgické Lepidlo BioGlue® Sebészi Klej Chirurgiczny Хирургический клей BioGlue® Návod na Szövetragasztó BioGlue® Sposób Użycia BioGlue® Инструкция по Použitie Striekačka Használati útmutató Strzykawka применению Шприц Fecskendő CryoLife, Inc. 1655 Roberts Boulevard, NW • Kennesaw, Georgia 30144 • USA • +1 (770) 419-3355 • Fax +1 (770) 590-3753 http://www.cryolife.com 25°C 0°C L6313.009 Rev (07/2010) ENGLISH PRODUCT DESCRIPTION BioGlue® Surgical Adhesive is composed of bovine serum albumin and glutaraldehyde. The product’s two components are mixed within the applicator tip of the syringe during application to tissue. Polymerization of the surgical adhesive begins immediately upon application, reaching bonding strength within 2 minutes. INDICATIONS • Do not peel away BioGlue from an unintended site, as 3. While firmly grasping the syringe, nose upward, BioGlue Surgical Adhesive is indicated for use as an this could result in tissue damage. turn the cap 90° counterclockwise and remove the adjunct to standard methods of surgical repair (such • An animal study12 has shown that the circumferential cap by rocking it from side-to-side. Align the tip with as sutures, staples, electrocautery, and/or patches) to application of BioGlue restricts dilatation on growing the syringe using the corresponding notches on bond, seal, and/or reinforce soft tissue.
[Show full text]
Efficacy/Risk Profile of Triamcinolone Acetonide in Severe Asthma
ARTICLE IN PRESS Respiratory Medicine CME (2008) 1, 111–115 respiratory MEDICINE CME CASE REPORT Efficacy/risk profile of triamcinolone acetonide in severe asthma: Lessons from one case study Cesar PicadoÃ Servei de Pneumologia, Hospital Clinic, Universitat de Barcelona, Villarroel 170, 08036 Barcelona, Spain Received 26 November 2007; accepted 22 January 2008 KEYWORDS Summary Insulin; Some prednisone-resistant asthma patients respond to intramuscular triamcinolone Refractory asthma; acetonide (TA). The use of TA has been questioned on the basis of its potential toxicity. Severe asthma; TA’s ratio of clinical efficacy to systemic effects compared with oral prednisone has not Steroid-dependent been clearly defined. asthma; We report the case of a prednisone-insensitive severe asthma patient with insulin- Triamcinolone dependent diabetes, hypertension and diabetic retinopathy treated with repeated sessions acetonide of laser therapy. By daily monitoring the needs of insulin doses we compared the systemic effects of prednisone and TA. The analysis of the balance between systemic effects (insulin doses) and beneficial effects (PEF values) show that TA has a better benefit/risk profile than prednisone. The patient has been followed up for 3 years and has received injections of TA repeated at intervals ranging from 21 to 60 days according to patient response and the evolution of PEF and clinical symptoms. During this period the patient lost 3 kg of weight, while presenting increased bone mineral density, normalized arterial tension, and improved proliferative diabetic retinopathy. The present case report shows that TA has a better benefit/risk profile than prednisone. TA can be a valuable alternative in the control of some patients with severe prednisone- resistant asthma.
[Show full text]