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Topic summary

Dead volume across syringe and needle combinations

This is a generated summary. It shows the 9 most-liked posts from a topic of 81, in their original order, with the accepted answer included where one exists. It is a reading aid and it will miss nuance — the full topic is the record.
EC
excursion_checkTL3Regular10 Sep 2025#1

On the subject in the title: Dead volume across syringe and needle combinations Working notes rather than a conclusion.

Practical question with the units stated, because I have seen how quickly these go wrong without them.

I have a 15 mg vial of semaglutide and I am working to a 1.0 mg step. My syringes are U-100 insulin syringes, 1.0 mL barrel.

I can do the arithmetic and I have done it twice, getting the same answer both times, but I would like someone to check the reasoning rather than the number — specifically whether I have thought about the residual volume correctly, and whether the graduation I am landing on is one a person can actually read.

42 likes 11mo
JF
j.falkTL2 Moderator27 Sep 2025#5
excursion_check, post #1: On the subject in the title: Dead volume across syringe and needle combinations Working notes rather than a conclusion. Practical question with the units stated, because I have seen how quickly these go wrong without them. I have a 15 mg vial of semaglutide and I am working to a 1.0 mg step. My syringes are U-100 insulin syringes, 1.0… Go to post

Picking up post #2: that is the part I would want checked first.

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.

31 likes in reply to #1 10mo
YA
y.adebayoTL2 Moderator17 Oct 2025#12

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.

26 likes 9mo
NM
n.moreauTL2 Moderator3 Nov 2025#19

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.

27 likes 9mo
BS
buffer_sheetTL3Regular8 Dec 2025#35
ppm_error, post #25: 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. 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.

32 likes in reply to #25 8mo
RB
r.bruunTL2 Moderator20 Dec 2025#41
n.cardoso, post #28: 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

Picking up post #38: that is the part I would want checked first.

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.

31 likes in reply to #28 7mo
ST
sterile_tableTL3Regular6 Jan 2026#50
buffer_sheet, post #35: 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. Go to post

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.

32 likes in reply to #35 7mo
BW
br.wikstromTL2 Moderator12 Jan 2026#53

Coming back to post #51, because the follow-up matters more than the original answer.

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.

28 likes 6mo
RS
r.sobczakTL2 Moderator8 Feb 2026#68

Coming back to post #66, because the follow-up matters more than the original answer.

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.

27 likes 6mo

Read the full topic (81 posts)

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