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File: 120396_sep96_decls14_0002.txt
Subject: PYRIDOSTIGMINE BROMINE PRETREATMENT FOR NERVE AGENTS
Unit: VAR. BUMED
Parent Organization: BUMED
Box ID: BX303817
Folder Title: usns comfort tah 20 1-14 feb 91
Document Number: 1
Folder SEQ #: 21
UNCLASSIFIED
PAGE 04 MMBB00839 UNCLO
ADMINISTERED BY US-INS ABOVE SCHEDULE:PROVIDED THE ENVIRUNMENT IS
UNCONTAMINATED, INCLUDING TH@ HOURS'OF DARKNESS, EVEN THOUGH BJY
PROTECTIVE MASK IS WORN.
A' SIHNS AND SYMPTOKS'OF PYRIDOSTISMINE OVERDOSE AND A" ERSIC
REACTIONS: ALTHOUGH NO DETRIMENTAL EFFECTS ARE EXPECTED-AT THE
@RTSBQMENDED DOSAGE* DEPENDING ON LENGTH OF TIME AND AMOUNT OF
tIFBitTATMANVAMEEDUALONISAWI[E)IPERIDEEMMEEPHVMWVMGCADVWRBIEAFPGIgTIO
-ABDOMINAL CRAMPS, NAUSEA, DIARRHF-AT SKIN RAS)I. WEAKNESS, MOSC
LE
CRAMPS. MUSCULAR TWITCHING AND/OR DIMNESS OF VISION DUE TO CONTRA
PUPILS. IF ANY OF THESE SIGNSISYMPTOMS-C=R@ REFER TO MEDICAL
DEPARTMENT REPRESENTATIVF-/MEDICAL SERVI= OFFICER (MDR/MSO)
iF. EMERGENCY MEDICAL TREATMENT FOR-PYRIDOSTISMINE SIDE.EFFECTS:..,
ORDINARILY.@ 131@TINUINa.-PYRIMSTIGMIM.-SH@ BE ADEQUATE
ALLEVIATE SISNS/SYMPTOM .. PYR MM@ MAY -PERSIST- LU.'M
FOR 24 HOURS@ HOWEVER@'AFTER BLOOD-LEVAS PEAK IN FOUR (4)
--EFFECTS DIMMISli GRADUALLY. EMERGENCY TREATMENT.-INCLUDM A
ING. ATROPINE- IN DOSES -SUFFICIENT -TO. OVERCOME THE CHOLINERGI
USE THE 2 MG ATROPINE AIJTj(31@TOR.- IF-ADDITIONPJ. ATROPINE
REQUIRED@ THE MDEUMSO SHOULD. ADMULSTER -2-MG EVERY IZ-20 MI
CASES MAY-REQUIRF-.ASS4STED YEKTILAT@:BUT:TKLS WOULD BE UN
THE EIGHT (8) HOM DOSAMREOIMU HAS,-MFN FOLLOWED. WHEN.V
CPNSIDER EVACUATION FOR FURTHERJO@VRTION AND-TREATMENT. .@,
r2... USE OF. PYRIDOSTI@@'PRETREATKENT IU AIRCREW P L.
ANT COWNDER@ ALL PER D
DESIGNATED-AIRCREICWILL-TAKE,FYFUDOSTIGMINE AS.OLLTL@.ABCIVI
(2) AIRCREW MAY FLY - immEDiATELY.".AFTEP, ADMINMTRA-TIDN- - .. -I
(3) FLIGHT SUR@NS-WILL.KMaTOR-CLO@Y ALL AIRCREW TAKING
PYRIDOSTIGMINE INCLUDIW' @'@AS.,@ -AS'POSSIBLE, DAILY CONTACT WITH
. @ :: - , ' 1: t - @ :I ..,
-AIRCREW R. . .....
(4) FLIGH-rSURGEONS@ANIIAVIATION@MMICAL."'CAVKED) SAFETY. OFFICERS
S14OULD BRIEF AIRCREWS ASAP' C INS U@AND POTENTIAL SIDE. UF
OF PYRIDOSTIGMINF.' EMPHASISTD@BE PLACEE ON POTENTIAL'VISUAL....
IMPAIRMENT, PARTICULARLY AT NIGHT, AS WELL S DECREASE IN HEAT
-TOLERANCE.
(5) PRETESTING AVIATION.-PER@NEL.-IS NAT.REQUIRED-TC DETERMINE
ADVERSE EFFECTS.
as
H. STORAGE:. NERVE AGENT. PYRII) T-IGMINE PRETREATMENT (NAAP) TABLET
SETS SHOULD BE REFRI EU- L@TEKPERATURE RANGES -OF 35 TO 46 J)E(l.
(2 TO 8 DEGREES . Cl'.;: LF NAPP-IS-NOT REFR.IGERATEDP THE MAXIMUM
USABLE SHELF LIFE -IS-SIX .(6L:MCS.-PT. WHICH TIME IT WILL HAVE LOST ITSL.
POTENR - SHOULD NOT. BE
-Y AND USEM@
4. THE FOLLOWINGIS EXTRACTED FROM REF D FOR CILCULATING
S. w,siz
REGYIREMENTS BASED UPON SHIP@ E:
A: ITEM, :-"@:I,@NAPP.."...
B. ALLOWANCE* rRELt."
C: USN: 5 USC 522(b)(4)
D: U/I:
Pe
E: NOTE$ PACKAGE CONTAINES 10 BUSTER PACKS. EOCH BLISTER PACK,
CO-N.Ti;I-N@--TA 'ENOUGH FOR 7 DAYS TREATMENT 'Cl TAB EVERY 8
HOURS FOR ONE PERSM.,
EXAMPLE: TO-FULLY
@IT. A. 50 -PERSON CRE". 210 X 50. 105. Pe.
SINCE EACH PACKAGE CON.TAINS..IO PA@ IDW.10 .10.5 OR 11 PACKS. A
KINIMUK. OF 4 PAC4M WOULU BE. CARRIED..
5. TO.CBR@U.ALLOWANCES-Ta Brz-PROMULGATED.BY UPDATE OF REF C..
Tl4E@ABQVE ITEM WILL BE I -OMTED,. ANTICIPATE REVIEW AND UPDATE OF.
REF C -TO. BE FINALIZED -JAU .9L..- ... .....
6. eOC FORCE READINESS DIV.
7. RELEASED BY J. 'D. HAMMONTREE.//
ET -.@5 USC 522(b)(6)
#00840
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Document 2 f:/Week-38/BX303817/usns comfort tah 20 1-14 feb 91/pyridostigmine bromine pretreatment for nerve ag:1122961638216
Control Fields 17
File Room = sep96_declassified
File Cabinet = Week-38
Box ID = BX303817
Unit = VAR. BUMED
Parent Organization = BUMED
Folder Title = usns comfort tah 20 1-14 feb 91
Folder Seq # = 21
Subject = PYRIDOSTIGMINE BROMINE PRETREATMENT FOR NERVE AG
Document Seq # = 1
Document Date =
Scan Date =
Queued for Declassification = 01-JAN-1980
Short Term Referral = 01-JAN-1980
Long Term Referral = 01-JAN-1980
Permanent Referral = 01-JAN-1980
Non-Health Related Document = 01-JAN-1980
Declassified = 22-NOV-1996