Which gauge is preferred for IM injections?

Prepare for the Mark Klimek Blue Book Part 1 Exam. Study with multiple choice questions, flashcards, and comprehensive explanations. Get ready for your nursing exam!

The preferred gauge for intramuscular (IM) injections is typically in the range of 21 to 22 gauge. This size is optimal because it strikes a balance between being large enough to allow for the quick injection of viscous solutions while still being small enough to minimize tissue damage at the site of injection.

Utilizing a gauge within this range helps ensure that medications can be administered effectively without causing excessive discomfort to the patient. Larger gauges, like those in the 18 to 20 range, might be used for certain thick medications or in specific medical situations but can be more painful and cause more tissue trauma. Smaller gauges (23 to 25 and above) could be less effective for IM injections because they may not allow for the efficient delivery of medications that need to be injected deeper into the muscle tissue, particularly those that are more viscous. Therefore, the 21 to 22 gauge provides a suitable compromise for most IM injections, ensuring both efficacy and patient comfort.

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