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Devices · Syringes & needles · continued

A ten-fold dose error caught before injection — one year on posts 91–120

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

MS
m.strand_rphTL33 Aug 2025#91
DE
d.eriksenTL2 Moderator3 Aug 2025#92

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.

0 likes 12mo
PE
ppm_errorTL3Analytical chemist3 Aug 2025#93
r.bruun, post #33: Worth separating two things that post #29 runs together. 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. 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.

16 likes in reply to #33 12mo
BV
b.vanheckeTL2 Moderator3 Aug 2025#94

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
P
preregisteredTL3Research methods3 Aug 2025#95

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 12mo
AP
a.pereiraTL2 Moderator3 Aug 2025#96

Thank you for the correction. I have edited my earlier post with a note rather than silently, so the thread still makes sense to read. The error was mine and it was the kind that comes from remembering a figure instead of looking it up.

32 likes 12mo
OL
o.lindgrenTL2Regular3 Aug 2025#97
n.ekstrom, post #44: 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

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.

11 likes in reply to #44 12mo
NC
n.cardosoTL2 Moderator4 Aug 2025 · edited#98
sourced_claims, post #23: 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. Go to post

Picking up post #95: that is the part I would want checked first.

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.

3 likes in reply to #23 12mo
SC
s.cardosoTL2 Moderator4 Aug 2025#99

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.

0 likes 12mo
GI
g.ibarraTL2 Moderator4 Aug 2025#100

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.

24 likes 12mo
FL
f.laurentTL2 Moderator4 Aug 2025#101

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.

2 likes 12mo
L
LundqvistTL2Member4 Aug 2025#102

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
JS
j.solbergTL2 Moderator4 Aug 2025#103
sourced_claims, post #34: 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

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.

18 likes in reply to #34 12mo
KB
k.bettencourtTL2Member4 Aug 2025#104

post #103 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.

8 likes 12mo
KC
k.chukwuTL2 Moderator4 Aug 2025#105

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.

4 likes 12mo
AT
apostille_traceTL1Member4 Aug 2025#106

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
CF
c.falkTL2 Moderator4 Aug 2025#107
ro.zielinski, post #24: 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

On post #103 — agreed on the reasoning, with one qualification.

Practical note that does not fit anywhere else. Whatever you conclude from this topic, write down what you did and when. The single most useful thing in your own records is not any individual result; it is that they are dated and consecutive.

25 likes in reply to #24 12mo
SE
septum_entryTL2Member4 Aug 2025#108

post #107 answers the question as asked. The question underneath it is different.

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.

12 likes 12mo
NN
n.nybergTL2 Moderator4 Aug 2025#109

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
CL
c.lundgrenTL2 Moderator4 Aug 2025#110
dietitian_hollis, post #50: 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. Go to post

This follows post #107 rather than contradicting it.

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.

1 like in reply to #50 12mo
AK
a.kravchenkoTL2 Moderator4 Aug 2025#111

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.

4 likes 12mo
BS
buffer_sheetTL3Regular4 Aug 2025#112
Ziegler, post #84: 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

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.

13 likes in reply to #84 12mo
ER
e.roosTL2 Moderator4 Aug 2025#113

Picking up post #110: that is the part I would want checked first.

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 12mo
SG
s.grahameTL2Member4 Aug 2025#114

Coming back to post #112, because the follow-up matters more than the original answer.

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.

0 likes 12mo
RI
r.ilungaTL2 Moderator4 Aug 2025#115

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 12mo
ED
e.dalgleishTL34 Aug 2025#116
BT
b.teixeiraTL2 Moderator4 Aug 2025 · edited#117
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

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.

27 likes in reply to #22 12mo
D
DOdendaalTL3Regular4 Aug 2025#118

I read post #116 twice before replying, because I had assumed the opposite.

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
NZ
n.zielinskiTL2 Moderator4 Aug 2025#119

post #118 answers the question as asked. The question underneath it is different.

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.

12 likes 12mo
M
MJayawardenaTL3Regular4 Aug 2025 · edited#120

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.

26 likes 12mo