How to administer intramuscular and subcutaneous vaccine ...
嚜澦ow to Administer Intramuscular and Subcutaneous Vaccine Injections
Administration by the Intramuscular (IM) Route
Administer by IM route only
? COVID-19
? Dengue
? Diphtheria-tetanus-pertussis (DTaP, Tdap)
? Diphtheria-tetanus (DT, Td)
? Haemophilus influenzae type b (Hib)
? Hepatitis A (HepA)
? Hepatitis B (HepB)
? Human papillomavirus (HPV)
? Inactivated influenza vaccine (IIV)
? Meningococcal serogroups A,C,W, Y
(MenACWY)
? Meningococcal serogroup B (MenB)
? Respiratory Syncytial Virus (RSV &
RSV-mAb)
? Pneumococcal conjugate (PCV)
? Zoster (RZV)
Administer by IM or
Subcutaneous (Subcut) route
? Inactivated polio vaccine (IPV)
? Measles, mumps, and rubella (MMR II
[Merck] only)
? Pneumococcal polysaccharide (PPSV23)
? Varicella (VAR)
90∼ angle
PATIENT AGE
INJECTION SITE
NEEDLE SIZE
Newborn (0每28 days)
Anterolateral thigh muscle
?"* (22每25 gauge)
Infant (1每12 mos)
Anterolateral thigh muscle
1" (22每25 gauge)
Anterolateral thigh muscle
1每1?" (22每25 gauge)
Alternate site: Deltoid muscle of arm if
muscle mass is adequate
?*每1" (22每25 gauge)
Deltoid muscle (upper arm)
?*每1" (22每25 gauge)
Alternate site: Anterolateral thigh muscle
1每1?" (22每25 gauge)
Deltoid muscle (upper arm)
??每1" (22每25 gauge)
Toddler (1每2 years)
Children (3每10 years)
Children and adults
(11 years and older)
Alternate site: Anterolateral thigh muscle
?
?
1 每1?" (22每25 gauge)
* A ?" needle usually is adequate for neonates (first
weighing 153每200 lbs (70每90 kg) and men weighing
28 days of life), preterm infants, and children ages
153每260 lbs (70每118 kg); a 1?" needle is recom1 through 18 years if the skin is stretched flat
mended in women weighing more than 200 lbs
between the thumb and forefinger and the needle
(91 kg) or men weighing more than 260 lbs (118 kg).
is inserted at a 90∼ angle to the skin.
?A
1" needle may be used for an IM injection in the
? A ?" needle may be used in patients weighing less
anterolateral thigh muscle of an adult of any weight if
than 130 lbs ( ................
................
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