NBC BIOLOGICAL WARFARE THREAT ASSESTMENT

File: 970616_dec96_decls45_0004.txt
Page: 0004
Total Pages: 7
Subject = NBC BIOLOGICAL WARFARE THREAT ASSESTMENT                        

Parent Organization = MCCDC       

Unit = WDID        

Folder Title = NBC MISCELLANEOUS MESSAGES SEC   OF 2  WDID SWA 0008                                            

Document Number =         34

Box ID = BX600138



                                    UNCLASSIFIED
                  a Fluid Volume Daplation Estimator
                       Finding          Dtolwtion- (por5o@t Rt EQJIX Wylaht)
                                                                      2-12%

                       Central pulses      Full       Full        Weak
                          (F*morall carotiid)
                       Pvriph*ral pulses
                          (Radial, pedal ) Full       Weak        Absun it
                       Skin turgar         Normal     Decreased   Poor
                       Eyes                @-NormaLl  Slightly    Sunken
                                                        Sunken
                       Muscle*             Normal     $am*        severe
                                                        cramps       Cramps
                       Appearance          Al*rt,     Alert,      Rottless,
                                             slightly thirsty        very
                                              thirsty                thirsty
                       urine flow          -NormAti   Reduced     Absent

                  c Oral salt/fluid replacement solution

                       -   WHOT to I liter ol potable water add 3.5 grams
                           NACI, 2.5 grams NaHC'O"3,- i,* grams KCI, and 20
                           grams glucose
                       -   Alternate formulae to I liter potable water add
                             -  3/4 toasp-table salt
                             -  I T*ASP baking soda
                             - one cup orange juice or two bananas
                             -  4 tbisp sugar

                  o. IY fluid  replacement
                       - Use   18 gauge ni*dl*
                       - Us*   ringers lactate or D5NS

                  a Antibiotics whortan@duration of di%*&%*
                       -   S*ptra-DS/Bactrim-DSI on* tab p.o b.i.d
                       -   Dogycyclin*, 100 mg p.a. bi.d.
                       -   Tetracycline, 250 mg pgo, q,itdg
                       -   Chloramphtnicol, 250 mg p.a. q.i.d.
                           Nor+loxacin, 400 mg p.c?. b.i.d.
                           Cipro-FloxAcins 500 mg p.o. bei.d.
                     Continue antibiotic +or 3-.5 days

                  o  Antibiotic resistance may be seen
                           Du* to naturally acquired resistance
                           Du* to organisms having bwan genetically
                           manipulated to induce resistance
                           Suggest begin treatment with, SeptrA or
                           doxycyclinal if no rosponsol us* norfloxacin
                           or ciprofloxacinj
                  a Antibiotics will not be w+4    ective if cholera   toxin
                     is used
                           Adpquate fluid  replacement will be suf-Ficient