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    Administering Vaccines

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    Kate Lucernas Mayuga
    This document provides guidance on vaccine dosages, administration routes, injection sites, and needle sizes. It lists various vaccines and their recommended dosages which range from 0.1 mL to 2.0 mL. The preferred routes of administration are intramuscular injection, subcutaneous injection, intradermal injection for Fluzone ID, and intranasal spray for Flumist. It also provides guidance on selecting the appropriate injection site and needle length based on a person's age, weight, and muscle mass. Combination vaccines such as Pediarix and Pentacel are also listed with their recommended dosages.

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    Administering Vaccines

    Uploaded by

    Kate Lucernas Mayuga
    214 views1 page
    This document provides guidance on vaccine dosages, administration routes, injection sites, and needle sizes. It lists various vaccines and their recommended dosages which range from 0.1 mL to 2.0 mL. The preferred routes of administration are intramuscular injection, subcutaneous injection, intradermal injection for Fluzone ID, and intranasal spray for Flumist. It also provides guidance on selecting the appropriate injection site and needle length based on a person's age, weight, and muscle mass. Combination vaccines such as Pediarix and Pentacel are also listed with their recommended dosages.

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    This document provides guidance on vaccine dosages, administration routes, injection sites, and needle sizes. It lists various vaccines and their recommended dosages which range from 0.1 mL to 2.0 mL. The preferred routes of administration are intramuscular injection, subcutaneous injection, intradermal injection for Fluzone ID, and intranasal spray for Flumist. It also provides guidance on selecting the appropriate injection site and needle length based on a person's age, weight, and muscle mass. Combination vaccines such as Pediarix and Pentacel are also listed with their recommended dosages.

    Copyright:

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

    Administering Vaccines

    Uploaded by

    Kate Lucernas Mayuga
    This document provides guidance on vaccine dosages, administration routes, injection sites, and needle sizes. It lists various vaccines and their recommended dosages which range from 0.1 mL to 2.0 mL. The preferred routes of administration are intramuscular injection, subcutaneous injection, intradermal injection for Fluzone ID, and intranasal spray for Flumist. It also provides guidance on selecting the appropriate injection site and needle length based on a person's age, weight, and muscle mass. Combination vaccines such as Pediarix and Pentacel are also listed with their recommended dosages.

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    Administering Vaccines:

    Dose, Route, Site, and Needle Size


    Vaccine Dose Route Injection Site and Needle Size
    Diphtheria, Tetanus, Pertussis Subcutaneous (Subcut) injection
    0.5 mL. . IM ..
    (DTaP, DT, Tdap, Td) Use a 23–25 gauge needle. Choose the injection site that is appropriate to
    Haemophilus influenzae type b (Hib) 0.5 mL IM the person’s age and body mass.
    ≤18 yrs: 0.5 mL age Needle injection site
    Hepatitis A (HepA) IM length
    ≥19 yrs: 1.0 mL
    Fatty tissue over anterolateral
    Hepatitis B (HepB) ≤19 yrs: 0.5 mL Infants (1–12 mos) ⅝"
    thigh muscle
    Persons 11–15 yrs may be given Recombivax HB (Merck) IM
    1.0 mL adult formulation on a 2-dose schedule. ≥20 yrs: 1.0 mL Fatty tissue over anterolateral
    Children 12 mos or older,
    Human papillomavirus (HPV) 0.5 mL IM ⅝" thigh muscle or fatty tissue
    adolescents, and adults
    over triceps
    0.2 mL (0.1 mL in Intranasal
    Influenza, live attenuated (LAIV) Intramuscular (IM) injection
    each nostril) spray
    Fluzone: 0.25 mL Use a 22–25 gauge needle. Choose the injection site and needle length that
    Influenza, inactivated (IIV); for ages is appropriate to the person’s age and body mass.
    IM
    6–35 months FluLaval: 0.5 mL
    age needle injection site
    Influenza, inactivated (IIV), for ages 3 length
    years & older; recombinant (RIV), for 0.5 mL IM
    ages 18 years and older Newborns (1st 28 days) ⅝" Anterolateral thigh muscle

    Influenza (IIV) Fluzone Intradermal, Infants (1–12 mos) 1" Anterolateral thigh muscle
    0.1 mL ID
    for ages 18 through 64 years 1–1¼" Anterolateral thigh muscle
    Toddlers (1–2 years)
    Measles, Mumps, Rubella (MMR) 0.5 mL Subcut ⅝–1" Deltoid muscle of arm
    Meningococcal conjugate Children ⅝–1"* Deltoid muscle of arm
    0.5 mL IM
    (MCV4 [MenACWY])
    (3–10 years) 1–1¼" Anterolateral thigh muscle
    Meningococcal serogroup B (MenB) 0.5 mL IM
    Adolescents and teens ⅝–1"* Deltoid muscle of arm
    Pneumococcal conjugate (PCV) 0.5 mL IM
    (11–18 years) 1–1½" Anterolateral thigh muscle
    IM or
    Pneumococcal polysaccharide (PPSV) 0.5 mL Adults 19 years or older
    Subcut
    IM or Female or male <130 lbs ⅝–1"* Deltoid muscle of arm
    Polio, inactivated (IPV) 0.5 mL
    Subcut Female or male 130–152 lbs 1" Deltoid muscle of arm
    Rotarix: 1.0 mL Female 153–200 lbs
    Rotavirus (RV) Oral 1–1½" Deltoid muscle of arm
    Rotateq: 2.0 mL Male 153–260 lbs
    Varicella (Var) 0.5 mL Subcut Female 200+ lbs
    1½" Deltoid muscle of arm
    Male 260+ lbs
    Zoster (Zos) 0.65 mL Subcut
    Combination Vaccines
    * A 5/8" needle may be used for patients note: Always refer to the package insert included
    DTaP-HepB-IPV (Pediarix) weighing less than 130 lbs (<60 kg) for with each biologic for complete vaccine administration
    DTaP-IPV/Hib (Pentacel) 0.5 mL IM IM injection in the deltoid muscle only information. CDC’s Advisory Committee on Immunization
    DTaP-IPV (Kinrix; Quadracel) if the skin stretched tight, the subcuta- Practices (ACIP) recommendations for the particular
    neous tissue is not bunched, and the
    MMRV (ProQuad) ≤12 yrs: 0.5 mL Subcut vaccine should be reviewed as well. Access the ACIP
    injection is made at a 90-degree angle.
    recommendations at www.immunize.org/acip.
    HepA-HepB (Twinrix) ≥18 yrs: 1.0 mL IM

    Intramuscular (IM) injection Subcutaneous (Subcut) injection Intradermal (ID) administration Intranasal (NAS) administration
    of Fluzone ID vaccine of Flumist (LAIV) vaccine

    90° angle
    90° angle 45° angle
    Administer
    skin skin in area
    subcutaneous tissue of deltoid
    subcutaneous tissue

    muscle muscle

    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 (10/17)

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