Plain sterile water does not contain preservatives, meaning bacteria can grow quickly once the vial is punctured for the first time
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It is postulated that it is the activation of leukocytes, the production of cytokines, and the pathological production of prostaglandins which are responsible for the damage seen in burn wounds (see section on inflammation, tissue injury, collagenase/gelatinase, see FIGS
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In reality, it can take several doses for hormone levels to rebalance
Most precautionary efforts must be made to maintain temperature consistency once reconstituted