The discrepancy emerged following a customer complaint that uncovered a potassium chloride bag tucked inside an overwrap marked for sodium chloride. Otsuka ICU Medical initiated the recall to the user level on Thursday to prevent potential administration errors. Medical facilities are advised to check their inventory immediately for the affected 100-milliliter single packs to ensure no mislabeled product remains in circulation.
Otsuka ICU Medical Recalls Saline Over Labeling Mix-up
A single lot of 0.9% sodium chloride injection is under voluntary recall after reports revealed a dangerous packaging error. The 100-milliliter units, intended for clinical use, may contain potassium chloride instead of the labeled saline solution, posing a significant health risk to patients receiving the misidentified intravenous fluids.

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