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  • Intramuscular Injection Guidelines

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    angie10231
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    This document provides guidelines for selecting the appropriate needle length and gauge for intramuscular injections based on the patient's age and location of injection. For infants under 18 months, a 7/8-1 inch needle with a gauge of 25-27 should be used in the vastus lateralis muscle. For pediatric patients over 18 months, a 7/8-1 1/4 inch needle with a gauge of 22-25 is recommended in the ventrogluteal or dorsogluteal sites. For adults, a 1-1 1/2 inch needle with a gauge of 19-25 is suitable for injections in the deltoid, ventrogluteal, or vastus lateralis muscles.

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    Intramuscular Injection Guidelines

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    This document provides guidelines for selecting the appropriate needle length and gauge for intramuscular injections based on the patient's age and location of injection. For infants under 18 months, a 7/8-1 inch needle with a gauge of 25-27 should be used in the vastus lateralis muscle. For pediatric patients over 18 months, a 7/8-1 1/4 inch needle with a gauge of 22-25 is recommended in the ventrogluteal or dorsogluteal sites. For adults, a 1-1 1/2 inch needle with a gauge of 19-25 is suitable for injections in the deltoid, ventrogluteal, or vastus lateralis muscles.

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    © All Rights Reserved
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    644 views2 pages

    Intramuscular Injection Guidelines

    Uploaded by

    angie10231
    This document provides guidelines for selecting the appropriate needle length and gauge for intramuscular injections based on the patient's age and location of injection. For infants under 18 months, a 7/8-1 inch needle with a gauge of 25-27 should be used in the vastus lateralis muscle. For pediatric patients over 18 months, a 7/8-1 1/4 inch needle with a gauge of 22-25 is recommended in the ventrogluteal or dorsogluteal sites. For adults, a 1-1 1/2 inch needle with a gauge of 19-25 is suitable for injections in the deltoid, ventrogluteal, or vastus lateralis muscles.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    Download as docx, pdf, or txt
    of 2

    Intramuscular Injection

    Guidelines
    for Needle Length and Gauge Selection*
    INTRAMUSCULAR (IM)**
    Infants < 18 months

    Pediatric

    Adult

    Location of Injection

    Needle
    Length

    Needle
    Gauge

    Needle
    Angle

    Vastus lateralis muscle ( 0.5 mL vol.)

    7/8" - 1"

    25 - 27 G

    90

    7/8" - 1 1/4"

    22 - 25 G

    90

    1" - 1 1/2"
    (up to 3" for
    large adults)

    19 - 25 G

    90

    Deltoid muscle
    Children

    Ventrogluteal site
    (>18 months and walking to
    Dorsogluteal sitenot
    recommended for <3 years
    18 years)

    Vastus lateralis muscle

    > 18 years

    Deltoid muscle, Ventrogluteal site may be


    best site for cachectic adults
    Dorsogluteal site avoid in obese adults
    Vastus lateralis muscle

    * Adapted from Fundamentals of Nursing: Human Health and Function, R. Craven, C. Hirnle, 4th ed. Lippincott Williams &
    Wilkins 2003
    ** Prior to administering an IM injection, refer to your procedure manual to determine the injection site utilizing body
    landmarks.

    30 G

    29 G

    28 G

    27 G

    26 G

    25 G

    24 G

    23 G

    22 G

    21 G

    ISO Hub Color Standards for safety-engineered needles

    20 G

    19 G

    18 G

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