Mod. 2 Needles, syringes, vials, and ampules

Needle Sizes for IM injections

?22-25 gauge
?<130 pounds: 5/8"
?130-152 pounds: 1"
?153-200 pound women/153-260 pound men: 1-1.5"
?Women >200 pounds/men>260 pounds: 1.5

Needle Sizes for Subcutaneous Injections

?25-30 gauge
?3/8"-1

Needle Sizes for Intradermal Injections

?25-27 gauge
?1/4 - 1/2

How do you remove a needle cap

pull it straight off

How do you recap a needle?

scoop method

Do you ever recap a needle after administering an injection

NO

(T/F) Never place an uncapped needle on a work surface

True

Removing Medication From A Vial

?Gather appropriate syringe and needle/blunt cannula
?Remove metal/plastic cap
?Scrub stopper top with alcohol and allow to dry
?Draw air into syringe equal to amount of medication to be withdrawn
?Place vial on flat surface
?Pierce center of stopper top

Removing Medication From an Ampule

?Remove medication with filter needle
?Withdraw ordered amount of medication plus approximately 30% more
?Do not inject air into ampule
?Do not touch ampule rim with needle
?Remove medication on flat surface or by inverting ampule
?Expel air after needle

Prefilled Cartridges

?Single dose
?Inserted into reusable holder/injection device
?Generally contain excess medication/air

Prefilled Syringes

?Contain medication
?Generally have needle attached
?Contain excess air that often should not be expelled

Mixing Medications in a Single Syringe

?Ensure compatibility
?If drugs become cloudy/form precipitate in syringe, discard and prepare separately
?Do not mix more than 2 medications
?Draw medications from multidose vials before single dose vials
?Draw medications from vials before ampules