(4) Blurring of near vision (near vision may be impaired for more than
24 hours). Soldiers with moderate symptoms can continue some ordinary activity with
some loss of efficiency. The effects of the moderate symptoms may last three to five
While an unchallenged dose of atropine may allow individuals to
continue normal duties, they may be closely monitored for possible heat
injury. This is particularly important when operation in MOPP4, as the
individual's ability to perspire is reduced due to atropine.
c. Signs and Symptoms of Severe Atropinization. If a third atropine injection
of 2 mg is repeated within an hour after the second nerve agent exposure and the
casualty has not been exposed to a nerve agent, symptoms will be severe enough to
interfere with activities. Additional administration of atropine at frequent intervals will
result in severe incapacitating symptoms of overatropinization (nerve agent antidote
poisoning). These severe symptoms are:
A very dry mouth, swelling of the tongue and oral mucus membranes.
Difficulty in swallowing, thirst, and hoarseness.
Dry and flushed skin.
Tachycardia (rapid pulse).
Urinary retention (in older individuals).
Slowing of mental and physical activity.
(14) Increased drowsiness.
(15) Increased fatigue.