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File: 120396_sep96_decls14_0002.txt
Page: 0002
Total Pages: 2

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