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    Drug Administration Route Needle Size Etc

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    Ron Abu
    This document provides guidance on vaccine dosing, administration route, injection site, and needle size based on age and vaccine type. It lists common childhood and adult vaccines, dosages from 0.1 mL to 1.0 mL, administration routes including intramuscular, subcutaneous, and intranasal, recommended injection sites such as the thigh or upper arm muscle, and needle size and length matching the patient's age and body type. Proper administration techniques are illustrated to ensure effective delivery of each vaccine.

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    Drug Administration Route Needle Size Etc

    Uploaded by

    Ron Abu
    73 views1 page
    This document provides guidance on vaccine dosing, administration route, injection site, and needle size based on age and vaccine type. It lists common childhood and adult vaccines, dosages from 0.1 mL to 1.0 mL, administration routes including intramuscular, subcutaneous, and intranasal, recommended injection sites such as the thigh or upper arm muscle, and needle size and length matching the patient's age and body type. Proper administration techniques are illustrated to ensure effective delivery of each vaccine.

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    Drug Administration Route Needle Size Etc

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    This document provides guidance on vaccine dosing, administration route, injection site, and needle size based on age and vaccine type. It lists common childhood and adult vaccines, dosages from 0.1 mL to 1.0 mL, administration routes including intramuscular, subcutaneous, and intranasal, recommended injection sites such as the thigh or upper arm muscle, and needle size and length matching the patient's age and body type. Proper administration techniques are illustrated to ensure effective delivery of each vaccine.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    73 views1 page

    Drug Administration Route Needle Size Etc

    Uploaded by

    Ron Abu
    This document provides guidance on vaccine dosing, administration route, injection site, and needle size based on age and vaccine type. It lists common childhood and adult vaccines, dosages from 0.1 mL to 1.0 mL, administration routes including intramuscular, subcutaneous, and intranasal, recommended injection sites such as the thigh or upper arm muscle, and needle size and length matching the patient's age and body type. Proper administration techniques are illustrated to ensure effective delivery of each vaccine.

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    © All Rights Reserved
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    of 1

    Administering Vaccines: Dose, Route, Site, and Needle Size

    Dose

    Route

    Diphtheria, Tetanus, Pertussis


    (DTaP, DT, Tdap, Td)

    0.5 mL

    IM

    Haemophilus influenzae type b (Hib)

    0.5 mL

    IM

    Use a 2325 gauge needle. Choose the injection site that is


    appropriate to the persons age and body mass.

    IM

    Age

    Vaccine

    <18 yrs; 0.5 mL

    Hepatitis A (HepA)

    >19 yrs; 1.0 mL


    <19yrs: 0.5 mL
    >20 yrs: 1.0 mL

    Hepatitis B (HepB)

    *Persons 1115 yrs may be given Recombivax HB


    (Merck) 1.0 mL adult formulation on a 2-dose schedule.

    IM

    Human papillomavirus (HPV)

    0.5 mL

    IM

    Influenza, live attenuated (LAIV)

    0.2 mL

    Intranasal spray

    6-35 mos: 0.25 mL

    Influenza, inactivated (IIV)

    >3 yrs: 0.5 mL

    IM

    Injection Site and Needle Size


    Subcutaneous (SC) injection

    Needle
    Length


    Infants (112 mos)

    Injection Site
    Fatty tissue over anterolat-
    eral thigh muscle

    8"

    Children 12 mos or older, 5


    8"
    adolescents, and adults

    Fatty tissue over anterolateral thigh muscle or fatty


    tissue over triceps

    Intramuscular (IM) injection


    Use a 2225 gauge needle. Choose the injection site and needle
    length appropriate to the persons age and body mass.
    Needle
    Length

    Age

    Injection Site

    0.1 mL

    ID

    Measles, Mumps, Rubella (MMR)

    0.5 mL

    SC

    5 "*
    Newborns (1st 28 days)
    8

    Anterolateral thigh muscle

    Meningococcal conjugate (MCV)

    0.5 mL

    IM

    1"
    Infants (112 mos)

    Anterolateral thigh muscle

    Meningococcal polysaccharide (MPSV)

    0.5 mL

    SC

    Pneumococcal conjugate (PCV)

    0.5 mL

    IM


    11"
    Toddlers (12 yrs)
    5 8 1"*

    Anterolateral thigh muscle


    or deltoid muscle of arm

    Pneumococcal polysaccharide (PPSV)

    0.5 mL

    IM or SC

    Polio, inactivated (IPV)

    0.5 mL

    IM or SC

    5 8 1"*
    Children & teens
    1"1"
    (318 years)

    Deltoid muscle of arm or


    anterolateral thigh muscle

    IIV: Fluzone intradermal (1864 yrs)

    Rotarix: 1.0 mL

    Rotavirus (RV)

    Rotateq: 2.0 mL

    Oral

    Adults 19 yrs or older



    Male or female
    less than 130 lbs

    8 1"*

    Deltoid muscle of arm

    Female 130200 lbs


    Male 130260 lbs

    11"

    Deltoid muscle of arm

    Female 200+ lbs


    Male 260+ lbs

    1"

    Deltoid muscle of arm

    Varicella (Var)

    0.5 mL

    SC

    Zoster (Zos)

    0.65 mL

    SC

    Combination Vaccines
    DTaP-HepB-IPV (Pediarix)
    DTaP-IPV/Hib (Pentacel)
    DTaP-IPV (Kinrix)
    Hib-HepB (Comvax)

    0.5 mL

    IM

    MMRV (ProQuad)

    <12 yrs: 0.5 mL

    SC

    HepA-HepB (Twinrix)

    >18 yrs: 1.0 mL

    IM

    Intramuscular (IM) injection

    Subcutaneous (SC) injection

    *A 5/8" needle may be used for patients weighing less than 130 lbs (<60 kg) for IM
    injection in the deltoid muscle only if the skin is stretched tight, the subcutaneous
    tissue is not bunched, and the injection is made at a 90-degree angle.

    Intradermal (ID) administration


    of Fluzone ID vaccine

    Intranasal (IN) administration


    of FluMist (LAIV) vaccine

    90 angle
    90 angle
    skin

    45 angle
    skin

    subcutaneous tissue
    muscle

    Administer
    in area of
    deltoid

    subcutaneous tissue
    muscle

    Please note: Always refer to the package insert included with each biologic for complete vaccine administration information. CDCs Advisory Committee
    on Immunization Practices (ACIP) recommendations for the particular vaccine should be reviewed as well (see www.immunize.org/acip).
    Technical content reviewed by the Centers for Disease Control and Prevention

    Immunization Action Coalition Saint Paul, Minnesota 651- 647- 9009 www.immunize.org www.vaccineinformation.org
    www.immunize.org/catg.d/p3085.pdf Item #P3085 (9/14)

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