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Radiological Emergency Management Independent Study Course 1-14 including decreased absorption, ulceration, and dehydration. If the individual suffers from severe infection, fluid loss, blood loss or circulatory collapse, death may occur within 7 days. Acute doses of over 1000 R cause irreparable damage to the central nervous system cells. Terminal symptoms may include over excitability, lack of coordination, breathing difficulty, and occasional periods of disorientation. At these doses, death occurs within hours to days. Table 1-2 shows the effects of various large doses in the weeks after exposure. Table 1-2 Clinical Symptoms of Acute Radiation Sickness in Relation to Postexposure Time and Dose Time after Exposure Sublethal Dose (100-250 rem) Lethal Dose (250-450 rem) Supralethal Dose (>650 rem) First Week Second Week Third Week Fourth
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Unformatted text preview: Week and Later Nausea and occasional vomiting within hours General malaise, anorexia, mild skin irritation, diarrhea, fatigue, drowsiness Hair loss Recovery probable Changes in blood cells detectable in laboratory Nausea, vomiting, extreme paleness within a few minutes or hours Weight loss, general malaise, fatigue, stomatitis Fever, anorexia, abdominal pains, severe skin irritation Hair loss, internal bleeding Menstrual irregularities in females 50% chance of death from changes in blood cells if not treated Nausea, vomiting, extreme paleness within a few minutes Shock, unconsciousness, diarrhea, abdominal pains and cramps, fever, severe skin irritation, burns or blisters, insomnia, restlessness Death certain (without medical attention) within a few hours to a few days Treatments...
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