ANTHRAX

Treatment
For patients not on Prophylaxis

Cutaneous (skin)
Immobilize the affected part.
Absolute bed rest.
Do not try to "drain" any of the infections.

ADULT--Oral Dosages taken for 10 days

Doxycycline—100mg twice a day
Tetracycline—500mg four times a day
Oxytetracycline—500mg four times a day
Penicillin V-K—250mg six times a day
Cipro—500mg twice a day

CHILD--Oral Dosages taken for 10 days

See: Clark’s Rule
Young’s Rule
Cowling’s Rule
Humans under 19 years should not take Cipro!
Expectant Mothers should not take Cipro!

Pulmonary (Lungs)

Isolation Procedures:
Provider should wear: Gloves, Mask and Gown.
Make the patient comfortable.
Triage mass Pulmonary casualties.

ADULT Treatment I.V.: Dosage per day

I.V. Drip Penicillin G—20 million units per day
I.V. Drip Doxycycline—200mg (loading) *then*
100mg I.V. Drip every 12 hours.
I.V. Drip Cipro—400mg every 8-12 hours

CHILDREN Treatment I.V.: Per Day

Doxycycline—I.V. Drip—Ringers or D5&W
For Children under 100 pounds as follows:
4.4mg per kg of weight, I.V. Drip (loading) *then*
2.2mg per kg of weight, I.V. Drip every 12 hours

I.V. Penicillin G—Consult PDR and Merck

NOTE: Mass Causality Patients with Pulmonary
Anthrax are going to DIE—treatment or not.
If you use your antibiotics on terminal patients, there
will be no antibiotics for minor illnesses.
NOTE: If you use antibiotics for terminal patients,
there will be no antibiotics for Prevention and
"YOU" WILL DIE!

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