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[11] To avoid this, always ensure that the final admixture is approximately isotonic, typically achieved by the drug or other diluents added to the bacteriostatic water, before injecting into the bloodstream

When to Schedule a Prompt Outpatient Evaluation Repeated or worsening bruising without a clear cause, new bruises in a person taking blood-thinning medications, or bruises accompanied by systemic symptoms (fatigue, fever, weight loss) should prompt urgent outpatient evaluation

2006 Oct;84(4):830-4.

It's sterile water with 0.9% benzyl alcohol added as a preservative

Since healthcare systems are highly context-specific, there is no universal set of best practices that applies to all