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sodium chloride and
sodium citrate solution
BALANCED SALT SOLUTION
AKORN BALANCED SALT SOLUTION is a sterile physiological solution containing calcium chloride (CaCl2•2H2O), magnesium chloride (MgCl2•6H2O), potassium chloride (KCl), sodium acetate (C2H3NaO2•3H2O), sodium chloride (NaCl) and sodium citrate (C6H5Na3O7•2H2O). This solution is isotonic to ocular tissue and contains electrolytes required for normal cellular metabolic functions. Each 1 mL contains:
7.0 pH and 300 mosm/kg osmolality.
Balanced Salt Solution is an isotonic solution for use in irrigating tissues of the eyes.
INDICATIONS AND USAGE
For use as an extraocular and intraocular irrigating solution during ocular surgical procedure involving perfusion of the eye with an expected maximum duration of less than 60 minutes.
Open under aseptic conditions only.
Prior to use, check the following: tip should be firmly in place, irrigating needle should be properly seated; squeeze out several drops before inserting into anterior chamber. The needle should be removed from the anterior chamber prior to releasing pressure to prevent suction.
Studies suggest that intraocular irrigating solutions which are iso-osmotic with normal aqueous fluids should be used with caution in diabetic patients undergoing vitrectomy since intraoperative lens changes have been observed.
There have been reports of corneal clouding or edema following ocular surgery in which Balanced Salt Solution (Sterile Irrigating Solution) was used as an irrigating solution.
Irrigation or any trauma to the corneal endothelium may result in corneal swelling or bullous keratopathy.
Postoperative inflammatory reactions as well as incidents of corneal edema and corneal decompensation have been reported.
DOSAGE AND ADMINISTRATION
18 mL bottle
The adaptor plug is designed to accept an irrigating needle. Tissues may be irrigated by attaching the needle to the bottle as explained below. External irrigation may be done without the irrigating needle.
18 mL bottle, NDC 17478-920-19
Revised: 11/2008 Akorn, Inc.
Reproduced with permission of U.S. National Library of Medicine
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