CHEMICAL WARFARE AGENT PROPHYLAXIS AND TREATMENT

File: 110796_aacrx_03.txt
Page: 03
Total Pages: 3



  NERVE AGENT PROPHYLAXIS AND TREATMENT ,
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       PROPHYLAXIS:
        - Pyridostigmine Bromide30 mg po tid
        _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
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 -     TREATMENT:

       - SELF AID/BUDDY CARE (SABC) = 1ST ECHELON (1E)
         -- Mask & Hood Skin Decon Kit for liquid exposure: eye irrigation for 
         -- Each airmen carries 3 Mark 1 Kits each of which contains the
            following two autoinjectors:
            --- Pralidoxime HCI (2-PAM)  600 mg in 2cc ("Combopen")
            --- Atropine 2mg in 0.7cc (Atropen)
            Thus each airman has a totaI of 6 mg of atropine and l.8g 2-PAM
            -~ Use: 1 Mark I kit at onset of symptoms: repeat q 10-15 min to buddy p
                  until decreased bronchial secretions and difficulty  breathing, HR>9O,
	            and skin dry

 -     MEDICAL TREAIMENT (2E AND ABOVE):

       - Oxygen
        - Ventilate
	2-PAM 600 mg initially  IM or IV over 2O - 30 minutes, can be repeated
        every hour x 3 hours
        - Atropine
	- SYSTEM1C SYMPTOMS:
		--Mild or moderate sx: 2mg p 15 min prn until sx controlled
		--SEVERE SX:  2 mg IM or IV as frequently as required until sx control
		-- DO NOT USE MIOSlS TO GAUGE RESPONSE
        - EYE EXPOSURE (MlOSIS) ONLY:
        -- Atropine Sulfate Opthalmic ointment 1% prn for 1-3 days
        - Daizepam - at least 0.1 mg/kg IV for severe casualties or at first
        sign of seizures or IV prn unti1 sz are controlled









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