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The French scale measures the outer diameter of the catheter, not the size of the internal drainage channel (inner diameter). For instance, a two-way catheter of 20 Fr and a three-way catheter of 20 Fr have the same outer diameter, but the three-way catheter has an additional channel for irrigation, reducing the size of its drainage channel.
The Birmingham gauge ranges from 5/0 or 00000, the lowest gauge number corresponding to the largest size of 0.500 inches (12.7 mm), to 36, the highest gauge number corresponding to the smallest size of 0.004 inches (0.10 mm). The increments between gauge sizes are not linear and vary. [2]
In people who are overweight, a 1.5-inch needle may be used to ensure the injection is given below the subcutaneous layer of skin, while a 5 ⁄ 8-inch needle may be used for people who weigh under 60 kilograms (130 lb). In any case, the skin does not need to be pinched up before injecting when the appropriate length needle is used. [29]
Today, pen needles are manufactured at shorter needle lengths than required for typical vial and syringe administration, which decreases the pain associated with injection. [2] They are available in multiple lengths and gauge of needle , including 3.5mm, 4mm, 5mm, and 8mm lengths, and 31 through 34 gauge. [ 8 ]
Needles in common medical use range from 7 gauge (the largest) to 34 (the smallest). 21-gauge needles are most commonly used for drawing blood for testing purposes, and 16- or 17-gauge needles are most commonly used for blood donation, as the larger luminal cross-sectional area results in lower fluid shear, reducing harm to red blood cells ...
While the standard needle size for vaccination is 1 inch, it's recommended that women over 200 lbs. and men over 260 lbs. get shots with 1.5-inch needles.
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