10 years 9 months ago - 10 years 9 months ago#27217by Patricia
Well what i'm thinking is that Stoma Nurses are very specialized and really ought to know what they're talking about. I don't think its a conspiracy by the pharmaceutical industry or the Stoma Nurses to get us to throw out saline.......you all just keep doing whatever it is you do if it works for you and please don't shoot the messenger.
OK...I'm thinking the difference might be that for using the solution to clean an open wound, you would want to use the product within a short, very specific timeframe.
Since the bladder is not a "sterile" invironment, I think it's OK to use the bottles 4 or 5 days...I've possibly kept one or two open for a week and used it...knock on wood, never had a UTI yet. Mine do not have any short term warning on them.
Very early on, I asked my doctor what I could do in an emergency, if I couldn't get any sterile water...could I use "distilled" water and his reply was something like, it would do the job but it might sting a bit. But I would only do that in an emergecy...and actually I would probably use "sterile" water sold at the grocery store before using "distilled".
Maybe the medical companies are just putting that info. out there to sell more bottles. We all know how many women were told they needed to have hystorectomies 20 years ago that really didn't "need" them.
And now I notice that 7 out of 10 people I talk with have been told they have sleep apnea and need SPAP.
Melodie, Indy Pouch, U.W.Medical Center, Seattle, Dr. Paul H. Lange & Jonathan L. Wright
Sorry but I have to post fast or I get shut out....so I meant to say that I also have been using the saline for 4-5 days after its been opened with no problems.
I do not use the saline directly from the bottle but put it in another receptor (I use a new urine speciman container which is sterile when new - get it from my local lab - its also the perfect size). Of course I clean this container and syringe thoroughly after using.
Like Melodie, I also have used my saline after the bottle has been opened and have done so ever since...
I actually called Medikmark (manufacturer of .9% saline 100 mls that I get). They said that they cannot guarantee the sterility of the product once the bottle has been opened (which is probably true of any sterile product). However, the ph and salt content does not seem to be affected.
So far I have used the 100 ml, 250 ml bottles for convenience - the 100's are great for travel, 250's are great for overnight. I guess I will ask the pharmacist to fill the script with smaller then 1000 ml bottles ...just in case.
Also I thought that our procedure is a clean one not a sterile one...??