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Devices · Syringes & needles · continued

A ten-fold dose error caught before injection — one year on posts 121–150

This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1.

RJ
r.jhannsdttirTL3Regular4 Aug 2025#121

Worth separating two things that post #117 runs together.

Needle gauge: smaller numbers (30G) are finer and less painful. Larger numbers (25G) are courser. For subcutaneous injection, 27-30G is typical. Finer needles take longer to draw up but hurt less.

8 likes 12mo
VB
v.bergstromTL2 Moderator4 Aug 2025#122

post #121 is right about the mechanism and I think understates the practical bit.

Dead volume: residual liquid in the hub and needle after withdrawal. Typical residual is 0.01 to 0.02 mL for an insulin syringe with a fixed needle. Accounting for it matters if precision matters.

2 likes 12mo
TK
t.kulkarniTL3Regular4 Aug 2025#123
m.vukovic, post #22: On post #18 — agreed on the reasoning, with one qualification. Fixed versus detachable needles: insulin syringes usually have fixed needles (no dead volume loss to the hub). Luer-lock syringes use detachable needles (more dead volume). Fixed needles are preferred for small doses. Go to post

Syringe barrel size: common sizes are 0.3 mL, 0.5 mL, and 1.0 mL. Smaller barrels are more legible for small doses. Larger barrels hold larger volumes. Choose based on your dose.

0 likes in reply to #22 12mo
AV
a.vermeulenTL24 Aug 2025#124
HA
h.almeidaTL2Member4 Aug 2025#125

On post #121 — agreed on the reasoning, with one qualification.

Sharps disposal: needles and syringes should be disposed in a sharps container (a rigid, puncture-resistant container). Do not put them in regular trash. Many pharmacies accept filled sharps containers.

4 likes 12mo
PN
p.novakTL2 Moderator4 Aug 2025 · edited#126

post #125 answers the question as asked. The question underneath it is different.

Aspirating before injection: for subcutaneous injection, aspirating (pulling back on the plunger to check for blood) is not necessary and is sometimes discouraged because it is associated with more discomfort. Subcutaneous injection without aspiration is standard practice.

0 likes 12mo
B
BDraganovTL2Member4 Aug 2025#127

Two things before anyone answers the substance.

First, the context in the first post is clear and specific. Second, the question is framed so that an answer can actually address it. Both are the norm here and both matter more than they sound.

0 likes 12mo
JP
j.palaciosTL2 Moderator4 Aug 2025#128

Fixed versus detachable needles: insulin syringes usually have fixed needles (no dead volume loss to the hub). Luer-lock syringes use detachable needles (more dead volume). Fixed needles are preferred for small doses.

19 likes 12mo
LE
logbook_erinTL3Regular4 Aug 2025#129
t.waldenstrm, post #54: Needle length: typical lengths for subcutaneous injection are 4-6 mm (short), 8 mm (standard), or 10-12 mm (longer). Longer needles are needed for deeper tissue or if you have abdominal adiposity. Go to post

Needle length: typical lengths for subcutaneous injection are 4-6 mm (short), 8 mm (standard), or 10-12 mm (longer). Longer needles are needed for deeper tissue or if you have abdominal adiposity.

0 likes in reply to #54 12mo
AI
a.ilungaTL2 Moderator4 Aug 2025#130
priorauth_notes, post #25: Needle length: typical lengths for subcutaneous injection are 4-6 mm (short), 8 mm (standard), or 10-12 mm (longer). Longer needles are needed for deeper tissue or if you have abdominal adiposity. Go to post

post #129 is right about the mechanism and I think understates the practical bit.

I disagree with the reply above, and I think the disagreement is substantive rather than terminological.

The distinction being drawn does not survive when you look at the published data for this specific question. I would be glad to be shown wrong on this, because the version I am arguing against is more convenient.

20 likes in reply to #25 12mo
C
chromatogramTL4Analytical chemist4 Aug 2025#131

Reading units correctly: look at the marking from the side, not from above or below. The bottom of the plunger tip is the reading. Parallax error (wrong angle) is a source of dosing error.

13 likes 12mo
MA
m.adeyemiTL2 Moderator4 Aug 2025#132

I read post #130 twice before replying, because I had assumed the opposite.

Insulin syringe graduations: U-100 syringes are marked in units where 100 units = 1 mL. Always confirm your syringe is U-100. Confusion between insulin units and milligrams is the most common syringe error.

28 likes 12mo
JM
j.mwangiTL44 Aug 2025#133
AW
a.wikstromTL2 Moderator4 Aug 2025#134
g.danquah, post #57: I read post #55 twice before replying, because I had assumed the opposite. Reading units correctly: look at the marking from the side, not from above or below. The bottom of the plunger tip is the reading. Parallax error (wrong angle) is a source of dosing error. Go to post

Sharps disposal: needles and syringes should be disposed in a sharps container (a rigid, puncture-resistant container). Do not put them in regular trash. Many pharmacies accept filled sharps containers.

2 likes in reply to #57 12mo
JC
j.castellanosTL2 Moderator5 Aug 2025#135

Syringe barrel size: common sizes are 0.3 mL, 0.5 mL, and 1.0 mL. Smaller barrels are more legible for small doses. Larger barrels hold larger volumes. Choose based on your dose.

9 likes 12mo
CR
c.ramosTL2 Moderator5 Aug 2025#136

Coming back to post #134, because the follow-up matters more than the original answer.

Having read the exchange above, I think I was wrong earlier in this topic and I want to say so plainly rather than quietly editing.

The correction was fair and I had been repeating something I had not checked carefully enough.

20 likes 12mo
CR
c.rasmussenTL2 Moderator5 Aug 2025#137
outline_first, post #42: Coming back to post #40, because the follow-up matters more than the original answer. Two things before anyone answers the substance. First, the context in the first post is clear and specific. Second, the question is framed so that an answer can actually address it. Both are the norm here and both matter more than they sound. Go to post

post #136 answers the question as asked. The question underneath it is different.

Needle gauge: smaller numbers (30G) are finer and less painful. Larger numbers (25G) are courser. For subcutaneous injection, 27-30G is typical. Finer needles take longer to draw up but hurt less.

0 likes in reply to #42 12mo
JS
j.sorensenTL2 Moderator5 Aug 2025 · edited#138
s.rasmussen, post #73: On post #69 — agreed on the reasoning, with one qualification. Needle gauge: smaller numbers (30G) are finer and less painful. Larger numbers (25G) are courser. For subcutaneous injection, 27-30G is typical. Finer needles take longer to draw up but hurt less. Go to post

Needle length: typical lengths for subcutaneous injection are 4-6 mm (short), 8 mm (standard), or 10-12 mm (longer). Longer needles are needed for deeper tissue or if you have abdominal adiposity.

0 likes in reply to #73 12mo
LI
l.ibarraTL2Regular5 Aug 2025#139

This follows post #136 rather than contradicting it.

Fixed versus detachable needles: insulin syringes usually have fixed needles (no dead volume loss to the hub). Luer-lock syringes use detachable needles (more dead volume). Fixed needles are preferred for small doses.

5 likes 12mo
AD
a.delgadoTL2 Moderator5 Aug 2025#140

Reading units correctly: look at the marking from the side, not from above or below. The bottom of the plunger tip is the reading. Parallax error (wrong angle) is a source of dosing error.

14 likes 12mo
SC
sourced_claimsTL3Regular5 Aug 2025#141

Insulin syringe graduations: U-100 syringes are marked in units where 100 units = 1 mL. Always confirm your syringe is U-100. Confusion between insulin units and milligrams is the most common syringe error.

10 likes 12mo
SG
s.grimaldiTL2 Moderator5 Aug 2025#142

Picking up post #139: that is the part I would want checked first.

Dead volume: residual liquid in the hub and needle after withdrawal. Typical residual is 0.01 to 0.02 mL for an insulin syringe with a fixed needle. Accounting for it matters if precision matters.

3 likes 12mo
DV
dr.villanuevaTL3Physician5 Aug 2025#143
f.espinoza, post #51: On post #47 — agreed on the reasoning, with one qualification. Syringe barrel size: common sizes are 0.3 mL, 0.5 mL, and 1.0 mL. Smaller barrels are more legible for small doses. Larger barrels hold larger volumes. Choose based on your dose. Go to post

On post #139 — agreed on the reasoning, with one qualification.

Fixed versus detachable needles: insulin syringes usually have fixed needles (no dead volume loss to the hub). Luer-lock syringes use detachable needles (more dead volume). Fixed needles are preferred for small doses.

0 likes in reply to #51 12mo
EI
e.iyerTL2 Moderator5 Aug 2025#144

Needle length: typical lengths for subcutaneous injection are 4-6 mm (short), 8 mm (standard), or 10-12 mm (longer). Longer needles are needed for deeper tissue or if you have abdominal adiposity.

23 likes 12mo
MH
ms_hollowayTL4Mass spectrometrist5 Aug 2025#145

Sharps disposal: needles and syringes should be disposed in a sharps container (a rigid, puncture-resistant container). Do not put them in regular trash. Many pharmacies accept filled sharps containers.

6 likes 12mo
RS
r.serranoTL2 Moderator5 Aug 2025#146

Aspirating before injection: for subcutaneous injection, aspirating (pulling back on the plunger to check for blood) is not necessary and is sometimes discouraged because it is associated with more discomfort. Subcutaneous injection without aspiration is standard practice.

1 like 12mo
OB
owen.bradyTL45 Aug 2025#147
KD
k.dahlbergTL2 Moderator5 Aug 2025#148

For anyone arriving from a search: the marked solution above is the direct answer, and the replies underneath it add the caveats that make it safe to use.

16 likes 12mo
AR
a.reyesTL4 Admin5 Aug 2025#149
Staff post. Actions described here are recorded in the public moderation log and may be challenged in Meta.

Dead volume: residual liquid in the hub and needle after withdrawal. Typical residual is 0.01 to 0.02 mL for an insulin syringe with a fixed needle. Accounting for it matters if precision matters.

22 likes 12mo
BO
b.oseiTL2 Moderator5 Aug 2025#150

Needle gauge: smaller numbers (30G) are finer and less painful. Larger numbers (25G) are courser. For subcutaneous injection, 27-30G is typical. Finer needles take longer to draw up but hurt less.

10 likes 12mo