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Sterile Acetic Acid (0.6% Solution): This is your primary reconstitution agent
This patient's young age, presentation with a diastolic rather than systolic murmur, and sharp upper back pain make papillary muscle rupture unlikely

10.3389/fnins.2020.00494 [DOI] [PMC free article] [PubMed] [Google Scholar] 89.Battaglini M, Emanet M, Carmignani A, Ciofani G

This creates positive pressure inside the vial, making it much easier to draw water out
