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IMMEDIATE                                          UNCLASSIFIED
    
                                              BASE COMMUNICATIONS CENTER
                                                               390 COSQ/DONA
    
PAGE 02 OF 02              RHDJGAA 0782                                                                          20/0418Z
(H) OXYGEN
(I) START IV
(J) ATROPINE - CONTINUE 1 ML (2MG) IV OR IM EVERY 2-4 MIN UNTIL FULL
ATROPINIZATION (NORMAL BREATING, RESPIRATORY SECRETIONS CONTROLLED
AND SECONDARILY DRY SKIN, HEART RATE 90 OR MORE
WARNING: IF OXYGENATION IS INADEQUATE, GIVE ATROPINE IM SINCE IV
ROUTE MAY INDUCE CARDIAC ARRHYTHMIAS
(K) DIAZEPAM 2 ML (10 MG) IV SLOW PUSH DOSES UNTIL SEIZURES
CONTROLLED
(L) CONSIDER URINARY CATHERIZATION
(M) CONSIDER ATROPINE OPTHALMIC OINTMENT (1%) O.U. EVERY 2-4 HOURS
PRN FOR VISUAL SYMPTOMS (NOTE: DO NOT U5E PUPILLARY SIZE TO MONITOR
PATIENT)
(N) ADMIT AND MONITOR FOR FULL ATROPINIZATION (SYMPTOMS MAY RECUR
 UNPREDICTABLY)
(O) AEROVAC WHEN CLINICALLY STABLE (MOVING AIR WELL AND OBEYING
COMMANDS) AND 24 HOURS SINCE LAST DOSE OF ATROPINE.
(2) DELAYED
(A) ATROPINE 1 ML (2 MG) IM AS NEEDED TO CONTROL SYMPTOMS.
(B) ASSURE ALL 3 PRALIDOXIME AUTOINJECTORS OR 1.8 GMS HAVE BEEN
GIVEN.
(C) CONSIDER ATROPINE OPTHALMIC OINTMENT (1%) O.U. EVERY 2-4 HOURS
PRN VISUAL SYMPTOMS
(D) ADMIT
(E) AEROVAC/DISCHARGE AS APPROPRIATE WHEN CLINICALLY STABLE AND 24
HOURS SINCE LAST DOSE OR ATROPINE
(3) MINIMAL
(A) RETURN TO DUTY WITH OR WITHOUT DUTY RESTRICTIONS AS APPROPRIATE
2. POC AT HQ TACOPS/SGPA IS [b)(2)]                                                               BT
BT    
#0782
NNNN
    
                                                            UNCLASSIFIED

   

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