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What size needle would you use?



What gauge needle would you use to give Rocephin mixed with lidocaine?
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Jan 30, 2003 03:40 PM

What size needle would you use?


This is probably a stupid question.....but, several nurses at our pedi urgent care facility want to give all of their IM injections with nothing larger than a 23g needle. We frequently give Rocephin and Bicillin. I like to use a 21g to 22g and I now I am being told that is too large!

Any opinions would be appreciated!:


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5 Comments
No. 1
Old Jan 30, 2003, 03:44 PM

depends on how big the kid is, personally....i would not use a 21g on an infant....
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No. 2
from prmenrs
Old Jan 30, 2003, 05:59 PM

I agree w/Walmart. In NICU, we routinely give blood thru a 24g IV, absolutely a no-no almost every where else. And we would never give an IM w/ >than a 25ga needle.

Size dependent decisions!
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No. 3
from Mattigan
Old Jan 31, 2003, 06:54 AM

I use 22's. Almost always. Length varies though.
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No. 4
from nurs4kids
Old Jan 31, 2003, 09:45 AM

I'm with prmenrs..
we frequently give all meds, even blood, through a 24ga angiocath..not just on the infants, but on other kids with difficult-to-access veins.

I would NEVER use bigger than a 23 ga on ANY kid..
and on a small child/infant, I always use a 25ga.

What's the benefit of a larger bore needle? Sure, it's easier to push, but does that make it less or more painful for the patient?
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No. 5
from IRISHBREAD
Old Feb 07, 2003, 12:38 PM

DEPENDING ON THE SIZE OF THE CHILD ON SMALL CHILDREN I WOULDN'T USE ANYTHING LARGER THAN 23 G ON TEENAGERS I WOULD CONSIDER A 22 G
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