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Devices · Syringes & needles · continued

A ten-fold dose error caught before injection — one year on posts 151–158

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

EK
e.kimaniTL2 Moderator5 Aug 2025#151

post #150 is right about the mechanism and I think understates the practical bit.

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.

4 likes 12mo
SS
s.silvaTL2 Moderator5 Aug 2025#152
dr.villanueva, post #143: 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. Go to post

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.

1 like in reply to #143 12mo
EF
e.ferrariTL2 Moderator5 Aug 2025#153

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.

0 likes 12mo
PA
p.amankwahTL2 Moderator5 Aug 2025#154

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 12mo
IR
i.rasmussenTL2 Moderator5 Aug 2025#155

post #154 answers the question as asked. The question underneath it is different.

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.

7 likes 12mo
V
VThorvaldsenTL3Regular5 Aug 2025#156
a.ilunga, post #130: 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,… 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.

17 likes in reply to #130 12mo
SA
s.achebeTL25 Aug 2025#157
K
KnowltonTL3Regular5 Aug 2025 · edited#158

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.

1 like 12mo

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