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sodium chloride irrigant
----------0.9% Sodium Chloride Irrigation, USP
0.9% Sodium Chloride Irrigation, USP is a sterile nonpyrogenic, isotonic solution in a single dose ARTHROMATIC plastic container for use as an arthroscopic irrigating solution. Each liter contains 9 g Sodium Chloride, USP (NaCl) in Water for Injection. pH 5.5 (4.5 to 7.0). Milliequivalents per liter: Sodium - 154, Chloride - 154. Osmolarity 308 mOsmol/L (calc.). No antimicrobial agent has been added.
The ARTHROMATIC plastic container is fabricated from a specially formulated polyvinyl chloride (PL 146 Plastic). The amount of water that can permeate from inside the container into the overwrap is insufficient to affect the solution significantly. Solutions in contact with the plastic container can leach out certain of its chemical components in very small amounts within the expiration period, e.g., di-2-ethylhexylphthalate (DEHP), up to 5 parts per million. However, the safety of the plastic has been confirmed in tests in animals according to USP biological tests for plastic containers as well as by tissue culture toxicity studies.
0.9% Sodium Chloride Irrigation, USP is useful as an irrigating fluid for body joints because the solution is isotonic, and provides a transparent fluid medium with optical properties suitable for good visualization of the interior joint surface during endoscopic examination. During arthroscopic surgical procedures, the solution acts as a lavage for removing blood, tissue fragments, and bone fragments.
INDICATIONS AND USAGE
0.9% Sodium Chloride Irrigation, USP is indicated for use as an arthroscopic irrigating fluid with endoscopic instruments during arthroscopic procedures requiring distension and irrigation of the knee, shoulder, elbow, or other bone joints.
Not for injection.
Because fluids used to irrigate joints may be absorbed into the general circulation, solutions containing sodium ion should be used with great care in patients with congestive heart failure, severe renal insufficiency, and in clinical states in which there exists edema with sodium retention.
The contents of an opened container should be used promptly to minimize the possibility of bacterial growth or pyrogen formation. Discard the unused portion of irrigating solution since no antimicrobial agent has been added.
Because some of the fluid used to irrigate joints may be absorbed, caution must be exercised in the volume of irrigating fluid used especially with solutions containing the sodium ion in patients receiving corticosteroids or corticotropin.
DOSAGE AND ADMINISTRATION
The volume of solution needed will vary with the nature and duration of the arthroscopic procedure.
If desired, warm in overpouch to near body temperature in a water bath or oven heated to not more than 45º C.
Parenteral drug products should be inspected visually for particulate matter and discoloration prior to administration whenever solution and container permit.
0.9% Sodium Chloride Irrigation, USP in ARTHROMATIC Plastic Container is available as follows:
Exposure of pharmaceutical products to heat should be minimized. Avoid excessive heat. It is recommended the product be stored at room temperature (25º C); brief exposure up to 40º C does not adversely affect the product.
DIRECTIONS FOR USE
Tear overwrap down side at slit and remove solution container. Some opacity of the plastic due to moisture absorption during the sterilization process may be observed. This is normal and does not affect the solution quality or safety. The opacity will diminish gradually. Check for minute leaks by squeezing bag firmly. If leaks are found, discard solution as sterility may be impaired.
Use Aseptic Technique.
Baxter Healthcare Corporation
Deerfield, IL 60015 USA
Printed in USA
Rev. August 2004
Baxter, ARTHROMATIC and PL 146 are trademarks of Baxter International Inc.
PACKAGE LABEL.PRINCIPLE DISPLAY PANEL
0.9% Sodium Chloride Irrigation USP Container Label
NOT FOR INJECTION
0.9% SODIUM CHLORIDE Irrigation USP
EACH 100 mL CONTAINS 900 mg SODIUM
CHLORIDE USP NO ANTIMICROBIAL AGENT HAS BEEN
ADDED pH 5.5 (4.5 to 7.0) mEq/L SODIUM 154
CHLORIDE 154 OSMOLARITY 308 mOsmol/L
(CALC) STERILE NONPYROGENIC SINGLE DOSE
DO NOT USE UNLESS SOLUTION IS CLEAR
DISCARD UNUSED PORTION
CAUTIONS SQUEEZE AND INSPECT INNER BAG WHICH
MAINTAINS PRODUCT STERILITY DISCARD IF LEAKS
ARE FOUND RX ONLY STORE UNIT IN MOISTURE
BARRIER OVERWRAP AT ROOM TEMPERATURE (25°C)
UNTIL READY TO USE AVOID EXCESSIVE HEAT SEE
0.9% Sodium Chloride NaCl Irrigation USP
ARTHROMATIC CONTAINER PL 146 PLASTIC
BAXTER HEALTHCARE CORPORATION
DEERFIELD IL 60015 USA
MADE IN USA
BAXTER ARTHROMATIC AND
PL 146 ARE TRADEMARKS OF
BAXTER INTERNATIONAL INC
FOR PRODUCT INFORMATION
0.9% Sodium Chloride Irrigation USP Carton Label
0.9% SODIUM CHLORIDE IRRIGATION, USP
SECONDARY BAR CODE
(17) YYMM00 (10) XXXXX
PRIMARY BAR CODE
Revised: 12/2009 Baxter Healthcare Corporation
Reproduced with permission of U.S. National Library of Medicine
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