Distilled water is a sterile and non-pyrogenic solution for irrigation in a 500 ml and 1000 ml
Sterile distilled water for irrigation is used for all general irrigation, washing, rinsing, and dilution purposes that allow use of sterile, non-pyrogenic, solute-free water. It is also used as a pharmaceutic aid and as an adjunct in the preparation of nutrient mixtures that are not administered intravenous.
Since distilled water for irrigation is solute-free and will cause hemolysis if absorbed systemically, its use is not recommended in conditions (e.g. surgical procedures) in which it may be readily absorbed.
Warnings / Cautions
1. Not for intravenous administration.
2. Do not use for electrosurgery.
3. Do not use if the solutions is not clear, if it contains particles or the bottle is damaged.
4. Microwave heating of the solution is not recommended.
5. Distilled water is hypotonic and causes hemolysis.
6. Aseptic technique is essential during application.
7. For single use. Discard unused portion of solution.
8. After the container is opened, the solution should be used promptly to minimize the possibility of bacterial growth or pyrogen formation.
9. Used products should be considered as medical waste.
10. The solution must not be used after the expiry date given on the label.
11. Store at room temperature under 25 °C. Excessive volumes of irrigation fluid entering the systemic circulation should systematically be considered in case of combination of the following clinical signs: nausea, headache, somnolence, excitement, confusion, blurred vision or amaurosis during local/regional anesthesia. When significant volumes of sterile water are absorbed, there is additional risk of hemolysis and severe electrolyte imbalance. In the presence of these signs the procedure should be interrupted after immediate blood sampling for hemostasis, natremia and hematocrit evaluation and an appropriate therapy should be initiated (see adverse reactions). Particular care is needed in monitoring patients with impaired renal or cardiac function as a fluid overload syndrome may develop following absorption of even small quantities of irrigation fluid.