Does normal saline "expire"?

Nurses General Nursing Nursing Q/A

In a bit of a bind here. I am taking a trip to Africa to assist in Surgery in May. I've put out a call for donations of supplies etc, and have gotten some things, and some more are coming.

Today, a nice lady donated 2 big boxes of 0.9% NS in 250 ml bags, perfect for hanging our preop abx, but they have an Exp date. I called Baxter, who made them and they immediately told me to throw them out and they would sell me more and that the normal saline would "break down".

When I asked the guy what it would break down into he was at a loss for words, and actually said, Ummm, uh it will just degrade.

Being a bit confused, I called my pharmacist buddy and she said, "Normal saline is just normal saline, it can't degrade like mannitol". So now, I'm torn.

Does the stuff really expire?

It has no chunks or flecks floating in it, and it is clear and not discolored. It is all still in sterile wrapping around the bags as well.

What do you think?

Specializes in ICU.

Great idea Tory!

IMHO I wouldn't use it...I vaguely remember something about the plastic & wrapper breaking down over time, thus you cannot guarantee the contents are still "sterile".

Specializes in ICU.
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Originally posted by Stargazer

Our supplier has always told us that it's generally accepted knowledge in the pharmaceutical biz that meds are still fine for 6 - 12 months past the printed expiration date, if that helps you any.

Does this apply to IV bags too? Without literature or something to support that, I'd still be scared to use it...

Specializes in ICU.

When expirary dates were first made mandatory (I told you all in MY training days we fought off dinosaurs) there was a maximum expiry of five years ergardless of the product. Before this ampoules ( they were glass) of normal saline had no expiry. But tthe best bet would be to contact one of the aid charities like Sisters of Mercy or others to see what they use and yes I understand it is often the case of anything is better than nothing.

I have been given 1.5 L of NS that was past the expiration date and I had absolutely no adverse effects or reactions. 

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