11501½ 134 2215025 gauge 2215025 gauge Needle size Injection site Anterolateral thigh muscle Administer these vaccines by the intramuscular IM route diphtheriatetanuspertus ID: 961228
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1–1½"* † (22–25 gauge) "* (22–25 gauge) Needle insertion Needle size Injection site Anterolateral thigh muscle Administer these vaccines by the intramuscular (IM) route: diphtheria-tetanus-pertussis (DTaP, Tdap); diphtheria-tetanus (DT, Td); type b (Hib); hepatitis A (HepA); neumococcal conju@ate (PCVD. Administe• inactivated How to Administer Intramuscular (IM) Vaccine Injections ¶ CDC. “ACIP Pene•al Recommendations on Immunization” at www.immunize.o•@/acip IM site for children and adults Insert needle at a 90° angle into thickest portion of deltoid muscle — above the level www.immunize.org/catg.d/p2020.pdf Item #P2020 (10/12) subcutaneous tissue IM site for infants and toddlers muscle skin 90° angle elbow Patient age Newborn (0–28 days) Adults 19 years and older IM injection site (shaded area) * A † A " 90-degree angle; a ½ " needle is recommended in women weigh - in@ 152–200 lbs (70–90 k@D and men wei@hin@ 152–260 lbs (70–118 k@D; a 1 ½ " needle is recommended in women weighing more than 200 lbs (>90 k@D o• men wei@hin@ mo•e than 260 lbs (>118 k@D. Use a needle long enough to reach Insert needle at a 90° angle to the skin vaccine, it is not necessary to aspirate, ¶ ) extremity should be separated by a acromion level of axilla IM
injection site (shaded area) –1"* (22–25 gauge) Infant (1–12 months) Toddler (1–2 years) Anterolateral thigh muscle Anterolateral thigh muscle 1"* (22–25 gauge) 1–1 ¼ " (22–25 gauge) –1"* (22–25 gauge) 1–1 ¼ " (22–25 gauge) 1–1½" (22–25 gauge) Deltoid muscle (upper arm) Deltoid muscle (upper arm) Alternate site: Anterolateral thigh muscle Alternate site: Anterolateral thigh muscle Alternate site: Deltoid muscle of arm if (armpit) es, mumps, and •ubella (MMRD, va•icella (VARD, menin@ococcal polysaccha•ide (MPSV4D, and zoste• (shin@les aZOS]D. Administe• inactivated polio Needle insertion Needle size Injection site Patient age Fatty tissue over the anterolateral thigh muscle F atty tissue over anterolateral thigh or fatty tissue over triceps " needle, 23–25 gauge " needle, 23–25 gauge How to Administer Subcutaneous (SC) Vaccine Injections extremity should be separated by a skin SC injection site subcutaneous tissue muscle SC site for infants acromion elbow www.immunize.org/catg.d/p2020.pdf Item #P2020 (10/12) 45° angle (shaded area) (shaded area) SC site for children (after the 1st birthday) and adults *CDC. “ACIP Pene•al Recommendations on Immunization” at www.immunize.o•@/aci