Description

When radioactive iodine is released, as after the Chernobyl disaster, it can be absorbed into the human thyroid gland. Potassium iodide can be taken to block this uptake.


Parameters:

(1) age of the patient

(2) if female, pregnancy or lactation

(3) predicted thyroid exposure in centigrays (cGy) I131 (where 1 cGy = 1 rem)

 

Population

Age Range

Exposure in cGy

Dose of Potassium Iodide in mg

adult

> 40

>= 500

130

adult

> 18 and <= 40

>= 10

130

woman who is pregnant or lactating

any

>= 5

130

adolescent, adult sized (>= 70 kg)

> 12 and <= 18

>= 5

130

adolescent

> 12 and <= 18

>= 5

65

child

> 3 and <= 12

>= 5

65

infant and young child

> 1 month to 3 years

>= 5

32

neonate

birth to 1 month

>= 5

16

 

where:

• According to the footnote on page 2, the radiation emitted by I131 (photons and electrons) has radiation-weighting factor of 1. The absorbed dose to the thyroid gland expressed in centigrays (cGy) is "numerically equal to the thyroid equivalent dose expressed in rem (1 cGy = 1 rem)."

 

Additional guidance:

(1) The protective effect of potassium iodide lasts about 24 hours. Daily dosing is required until the risk of exposure to a radioactive iodine no longer exists.

(2) Priority in dosing and protective measures should be given to persons intolerant to potassium iodide, pregnant or lactating women and neonates.


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