Sabtu, 09 April 2011

Potassium Iodide

Potassium iodide

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Potassium iodide
Identifiers
CAS number 7681-11-0 YesY
PubChem 4875
ChemSpider 4709 YesY
UNII 1C4QK22F9J YesY
KEGG D01016 YesY
ChEMBL CHEMBL1141 YesY
RTECS number TT2975000
Properties
Molecular formula KI
Molar mass 166.0028 g/mol
Appearance white crystalline solid
Density 3.123 g/cm3
Melting point

681 °C, 954 K, 1258 °F

Boiling point

1330 °C, 1603 K, 2426 °F

Solubility in water 128 g/100 ml (0 °C)
140 g/100 mL (20 °C)
176 g/100 mL (60°C)
206 g/100 mL (100°C)
Solubility 2 g/100 mL (ethanol)
soluble in acetone (1.31 g/100 mL)
slightly soluble in ether, ammonia
Hazards
MSDS External MSDS
EU Index Not listed
NFPA 704
NFPA 704.svg
0
1
0
Related compounds
Other anions Potassium fluoride
Potassium chloride
Potassium bromide
Other cations Lithium iodide
Sodium iodide
Rubidium iodide
Caesium iodide
YesY(what is this?) (verify)
Except where noted otherwise, data are given for materials in their standard state (at 25 °C, 100 kPa)
Infobox references

Potassium iodide is an inorganic compound with formula KI. This white salt is the most commercially significant iodide compound, with approximately 37,000 tons produced in 1985. It is less hygroscopic (absorbs water less readily) than sodium iodide, making it easier to work with. Aged and impure samples are yellow because of aerial oxidation of the iodide to iodine.[1]

4 KI + 2 CO2 + O2 → 2 K2CO3 + 2 I2

Potassium iodide is medicinally supplied in 130 mg tablets for emergency purposes.[2] Potassium iodide may also be administered as a "saturated solution of potassium iodide" (SSKI) which in the U.S.P. generic formulation contains 1000 mg of KI per mL of solution. This represents 333 mg KI and about 250 mg iodide (I -) in a typical adult dose of 5 drops, assumed to be ⅓ mL.[3] Because SSKI is a viscous liquid, it is normally assumed to contain 15 drops/milliliter, not 20 drops/milliliter as is often assumed for water.[4] Thus, each drop of U.S.P. SSKI is assumed to contain about 50 mg iodine as iodide, I -. Thus, two (2) drops of U.S.P. SSKI solution is equivalent to one 130 mg KI tablet (100 mg iodide).

SSKI can also be prepared by truly saturating water with KI. This preparation can be made without a measuring scale. Since the solubility of KI in water at room temperature is about 1.40 to 1.48 grams per mL pure water, and the resulting solution has a density of about 1.72 g/mL, this process also results in a final concentration of KI of about 1000 mg KI per mL of saturated KI solution, and also contains essentially the same concentration of iodide per drop as does the U.S.P. formulation.

Neither SSKI or KI tablets are used as nutritional supplements, since the nutritional requirement for iodine is only 150 micrograms or 0.15 mg of iodide per day. Thus, a drop of SSKI provides 50/0.15 = 333 times the daily iodine requirement, and a standard KI tablet provides twice this much.

Kelp is a natural KI source.[5] The iodide content can range from 89 µg/g to 8165 µg/g in Asian varieties, making prepared foods content difficult to estimate. [6] Eating 3-5 grams of most dried, unrinsed seaweeds will provide the 100-150 micrograms iodide recommended daily allowance for nutritional purposes.[7]

Contents


Structure, production, properties

Potassium iodide is ionic, K+I. It crystallises in the sodium chloride structure. It is produced industrially by treating KOH with iodine.[1]

Inorganic chemistry

Since the iodide ion is a mild reducing agent, I is easily oxidised to I2 by powerful oxidising agents such as chlorine:

2 KI(aq) + Cl2(aq) → 2 KCl + I2(aq)

This reaction is employed in the isolation of iodine from natural sources. Air will oxidize iodide, as evidenced by the observation of a purple extract when aged samples of KI are rinsed with dichloromethane. As formed under acidic conditions, hydroiodic acid (HI) is a stronger reducing agent.[8][9][10]

Like other iodide salts, KI forms I3 when combined with elemental iodine.

KI(aq) + I2(s) → KI3(aq)

Unlike I2, I3 salts can be highly water-soluble. Through this reaction iodine is used in redox titrations. Aqueous KI3, "Lugol's solution," are used as disinfectants and as etchants for gold surfaces.

Potassium iodide is the precursor to silver(I) iodide, which is used for high speed photographic film:

KI(aq) + AgNO3(aq) → AgI(s) + KNO3(aq)

Organic chemistry

KI serves as a source of iodide in organic synthesis. A useful application is in the preparation of aryl iodides from arenediazonium salts.[11][12] For example:

KI Sandmeyer.png

KI, acting as a source of iodide, may also act as a nucleophilic catalyst for the alkylation of alkyl chlorides, bromides, or mesylates.

Applications

Industry

KI is a precursor to silver iodide (AgI) an important chemical in photography. KI is a component in some disinfectants and hair treatment chemicals. KI is also used as a fluorescence quenching agent in biomedical research, an application that takes advantage of collisional quenching of fluorescent substances by the iodide ion. However, for several fluorophores addition of KI in µM-mM concentrations results in increase of fluorescence intensity, and Iodide acts as fluorescence enhancer.[13] Potassium iodide is a component in the electrolyte of dye sensitized solar cells (DSSC) along with iodine.

Nutrition

The major uses of KI include use as a nutritional supplement in animal feeds and also the human diet. For the latter, it is the most common additive used to "iodize" table salt (a public health measure to prevent iodine deficiency in populations which get little seafood). The oxidation of iodide causes slow loss of iodine content from iodised salts that are exposed to excess air. The alkali metal iodide salt, over time and exposure to excess oxygen and carbon dioxide, slowly oxidizes to metal carbonate and elemental iodine, which then evaporates.[14] Potassium iodate is used to add iodine to some salts so that the iodine is not lost by oxidation.

For reasons noted above, therapeutic drops of SSKI, or 130 mg tablets of KI as used for nuclear fission accidents, are not used as nutritional supplements, since an SSKI drop or nuclear-emergency tablet provides 300 to 700 times more iodine than the daily adult nutritional requirement. Dedicated nutritional iodide tablets containing 0.15 mg (150 microgram or mcg) of iodide, from KI or from various other sources (such as kelp extract) are marketed as supplements, but they are not to be confused with the much higher pharmaceutical dose preparations.

Pharmaceutical applications

Potassium iodide can be conveniently prepared as a saturated solution, abbreviated SSKI. This method of delivering potassium iodide does not require a method to weigh out the potassium iodide so it can be used in an emergency situation. KI crystals are simply added to water until no more KI will dissolve and instead sits at the bottom of the container. With pure water, the concentration of KI in the solution depends only on the temperature. Potassium iodide is highly soluble in water so SSKI is a concentrated source of KI. At 20 degrees Celsius the solubility of KI is 140-148 grams per 100 grams of water.[15] Because the volumes of KI and water are approximately additive, the resulting SSKI solution will contain about 1.40 gram (1400 mg) KI per milliliter (mL) of solution. This is 100% weight/volume of KI (one gram KI per mL solution), which is possible because SSKI is significantly more dense than pure water—about 1.72 g/mL.[16] Because KI is about 76.4% iodide by weight, SSKI contains about 764 mg iodide per mL. This concentration of iodide allows the calculation of the iodide dose per drop, if one knows the number of drops per milliliter. For SSKI, a solution more viscous than water, there are assumed to be 15 drops per mL; the iodide dose is therefore approximately 51 mg per drop, assuming 15 drops/mL. It is conventionally rounded to 50 mg per drop.

The term SSKI is also used, especially by pharmacists, to refer to a U.S.P. pre-prepared solution formula, made by adding exactly KI to water to prepare a solution containing of 1000 mg KI per mL solution (100% wt/volume KI solution), to closely approximate the concentration of SSKI made by saturation. This is essentially interchangeable with SSKI made by saturation, and also contains about 50 mg iodide per drop.

  • Saturated solutions of potassium iodide can be an emergency treatment for hyperthyroidism (so-called thyroid storm), as high amounts of iodide temporarily suppress secretion of thyroxine from the thyroid gland.[17] The dose typically begins with a loading dose, then 1/3 mL SSKI (5 drops or 250 mg iodine as iodide), three times per day.
  • Iodide solutions made from a few drops of SSKI added to drinks have also been used as expectorants to increase the water content of respiratory secretions and encourage effective coughing.[citation needed]
  • SSKI has been proposed as a topical treatment for sporotrichosis, but no trials have been conducted to determine the efficacy or side effects of such treatment.[18]
  • Potassium iodide has been used for symptomatic treatment of erythema nodosum patients for persistent lesions whose cause remains unknown. It has been used in cases of erythema nodosum associated with Crohn's disease.[19]

Thyroid protection during medical treatment

Pheochromocytoma seen as dark sphere in center of the body. Image is by MIBG scintigraphy with radiation from radioiodine in the MIBG. However, note unwanted uptake of radioiodine from the pharmaceutical by the thyroid gland in the neck, in both images (front and back) of the same patient. Radioactivity is also seen in the bladder.

Thyroid iodine uptake blockade with potassium iodide is used in nuclear medicine scintigraphy and therapy with some radioiodinated compounds that are not targeted to the thyroid, such as iobenguane (MIBG), which is used to image or treat neural tissue tumors, or iodinated fibrinogen, which is used in fibrinogen scans to investigate clotting. These compounds contain iodine, but not in the iodide form. However, since they may be ultimately metabolized or break down to radioactive iodide, it is common to administer non-radioactive potassium iodide to ensure that iodide from these radiopharmaceuticals is not sequestered by the normal affinity of the thryoid for iodide.

FDA-approved dosing of potassium iodide for this purpose with iobenguane, is as follows (per 24 hours): infants less than 1 month old, 16 mg; children 1 month to 3 years, 32 mg; children 3 years to 18 years, 65 mg; adults 130 mg.[20] However, some sources recommend alternative dosing regimens.[21]

Not all sources are in agreement on the necessary duration of thyroid blockade, although agreement appears to have been reached about the necessity of blockade for both scintigraphic and therapeutic applications of iobenguane. Commercially available iobenguane is labeled with iodine-123, and product labeling recommends administration of potassium iodide 1 hour prior to administration of the radiopharmaceutical for all age groups,[22] while the European Associated of Nuclear Medicine recommends (for iobenguane labeled with either isotope,) that potassium iodide administration begin one day prior to radiopharmaceutical administration, and continue until the day following the injection, with the exception of new-borns, who do not require potassium iodide doses following radiopharmaceutical injection.[21]

Product labeling for diagnostic iodine-131 iobenguane recommends potassium iodide administration one day before injection and continuing 5 to 7 days following administration, in keeping with the much longer half-life of this isotope and its greater danger to the thyroid.[23] Iodine-131 iobenguane used for therapeutic purposes requires a different pre-medication duration, beginning 24–48 hours prior to iobenguane injection and continuing 10–15 days following injection.[24]

Thyroid protection due to nuclear accidents and emergencies

In 1982, the US FDA approved potassium iodide to protect thyroid glands from radioactive iodine involving accidents or fission emergencies. In an accidental event or attack on a nuclear power plant, or in nuclear bomb fallout, volatile fission product radionuclides may be released. Of these products, 131I is one of the most common and is particularly dangerous to the thyroid gland because it may lead to thyroid cancer. By saturating the body with a source of stable iodide prior to exposure, inhaled or ingested 131I tends to be excreted, which prevents radioiodine uptake by the thyroid. The protective effect of KI lasts approximately 24 hours. For optimal prophylaxis, KI must be dosed daily until a risk of significant exposure to radioiodine by either inhalation or ingestion no longer exists.

Emergency 130 milligrams potassium iodide doses provide 100 mg iodide (the other 30 mg is the potassium in the compound), which is roughly 700 times larger than the normal nutritional need (see recommended dietary allowance) for iodine, which is 150 micrograms (0.15 mg) of iodine (as iodide) per day for an adult.

Potassium iodide cannot protect against any other causes of radiation poisoning, nor can it provide any degree of protection against dirty bombs that produce radionuclides other than radioisotopes of iodine. See fission products and the external links for more details concerning radionuclides.

WHO Recommended Dosage for Radiological Emergencies involving radioactive iodine[25]
Age KI in mg per day
Over 12 years old 130
3 – 12 years old 65
1 – 36 months old 32
< 1 month old 16

The potassium iodide in iodized salt is insufficient for this use.[26] A likely lethal dose of salt (more than a kilogram[27]) would be needed to equal the potassium iodide in one tablet.[28]

The World Health Organization does not recommend KI prophylaxis for adults over 40 years, unless inhaled radiation dose levels are expected to threaten thyroid function; because, the KI side effects increases with age and may exceed the KI protective effects "...unless doses to the thyroid from inhalation rise to levels threatening thyroid function, that is of the order of about 5 Gy. Such radiation doses will not occur far away from an accident site."[25]

The U.S. Department of Health and Human Services restated these two years later as "The downward KI (potassium iodide) dose adjustment by age group, based on body size considerations, adheres to the principle of minimum effective dose. The recommended standard (daily) dose of KI for all school-age children is the same (65 mg). However, adolescents approaching adult size (i.e., >70 kg [154 lbs]) should receive the full adult dose (130 mg) for maximal block of thyroid radioiodine uptake. Neonates ideally should receive the lowest dose (16 mg) of KI."[29]

SSKI (i.e., the solution of KI rather than tablets) may be used in radioiodine-contamination emergencies (i.e., nuclear accidents) to "block" the thyroid's uptake of radioiodine, at a dose of two drops of SSKI per day for an adult. This is not the same as blocking the thyroid's release of thyroid hormone, for which the adult dose is different (and is actually higher by a factor of 7 or 8), and for which KI anti-radiation pills (not a common medical treatment form of KI) are not usually available in pharmacies, or normally used in hospitals, or by physicians. Although the two forms of potassium iodide are completely interchangable, normally in practice the SSKI solution, which is the historical medical form of high dose iodine, is generally used for all medical purposes save for radioiodine prophylaxis. For protection of the thyroid against radioiodine (iodine-131) contamination, the convenient standard 130 mg KI pill is used if available. As noted, the equivalent two drops of SSKI may be used for this purpose, if the pills are not available.

Historical use and analysis

Following the Chernobyl nuclear reactor disaster in April, 1986, a saturated solution of potassium iodide (SSKI) was administered to 10.5 million children and 7 million adults in Poland[29] as a prophylactic measure against accumulation of radioactive iodine-131 in the thyroid gland. People in the areas immediately surrounding Chernobyl itself, however, were not given the supplement.[30]

Potassium iodide’s (KI) value as a radiation protective (thyroid blocking) agent was demonstrated at the time of the Chernobyl nuclear accident when Soviet authorities distributed it in a 30 km zone around the plant. The purpose was to protect residents from radioactive iodine, a highly carcinogenic material found in nuclear reactors which had been released by the damaged reactor. Only a limited amount of KI was available, but those who received it were protected. Later, the US Nuclear Regulatory Commission (NRC) reported, “thousands of measurements of I-131 (radioactive iodine) activity...suggest that the observed levels were lower than would have been expected had this prophylactic measure not been taken. The use of KI...was credited with permissible iodine content in 97% of the evacuees tested.”[31]

Poland, 300 miles from Chernobyl, also distributed KI to protect its population. Approximately 18 million doses were distributed, with follow-up studies showing no known thyroid cancer among KI recipients.[32] With the passage of time, people living in irradiated areas where KI was not available have developed thyroid cancer at epidemic levels, which is why the US Food and Drug Administration (FDA) reported “The data clearly demonstrate the risks of thyroid radiation...KI can be used [to] provide safe and effective protection against thyroid cancer caused by irradiation.[33]

Chernobyl also demonstrated that the need to protect the thyroid from radiation was greater than expected. Within ten years of the accident, it became clear that thyroid damage caused by released radioactive iodine was virtually the only adverse health effect that could be measured. As reported by the NRC, studies after the accident showed that “As of 1996, except for thyroid cancer, there has been no confirmed increase in the rates of other cancers, including leukemia, among the...public, that have been attributed to releases from the accident.”[34]

But equally important to the question of KI is the fact that radiation releases are not “local” events. Researchers at the World Health Organization accurately located and counted the cancer victims from Chernobyl and were startled to find that “the increase in incidence [of thyroid cancer] has been documented up to 500 km from the accident site...significant doses from radioactive iodine can occur hundreds of kilometers from the site, beyond emergency planning zones."[25] Consequently, far more people than anticipated were affected by the radiation, which caused the United Nations to report in 2002 that “The number of people with thyroid cancer...has exceeded expectations. Over 11,000 cases have already been reported.”[35]

These findings were consistent with studies of the effects of previous radiation releases. In 1945, millions of Japanese were exposed to radiation from nuclear weapons, and the effects can still be measured. Today, nearly half (44.8%) the survivors of Nagasaki studied have identifiable thyroid disease, with the American Medical Association reporting “it is remarkable that a biological effect from a single brief environmental exposure nearly 60 years in the past is still present and can be detected.”[36] This, as well as the development of thyroid cancer among residents in the North Pacific from radioactive fallout following the United States' nuclear weapons testing in the 1950s (on islands nearly 200 miles downwind of the tests) were instrumental in the decision by the FDA in 1978 to issue a request for the availability of KI for thyroid protection in the event of a release from a commercial nuclear power plant or weapons-related nuclear incident. Noting that KI’s effectiveness was “virtually complete” and finding that iodine in the form of potassium iodide (KI) was substantially superior to other forms including iodate (KIO3) in terms of safety, effectiveness, lack of side effects, and speed of onset, the FDA invited manufacturers to submit applications to produce and market KI.[37]

Today, three companies (Anbex, Inc., Fleming Co, and Recip of Sweden) have met the strict FDA requirements for manufacturing and testing of KI, and they offer products (IOSAT, ThyroShield, and Thyro-Safe, respectively) which are available for purchase. The Swedish manufacturing facility for Thyrosafe, a potassium iodide tablet for thyroid protection from radiation manufactured by Recipharm AB, was mentioned on the secret US 2008 Critical Foreign Dependencies Initiative leaked by Wikileaks in 2010.[38]

It was reported on March 16, 2011, that potassium iodide tablets were given prophylactically to U.S. Naval air crew members flying within 70 nautical miles of the Fukushima Daiichi Nuclear plant damaged in the massive Japanese earthquake (8.9/9.0 magnitude) and ensuing tsunami on March 11, 2011. The measures were seen as precautions, and the Pentagon said no U.S. forces have shown signs of radiation poisoning. By March 20, the US Navy instructed personnel coming within 100 miles of the reactor to take the pills. [39]

Adverse reactions

There have been some reports of potassium iodide treatment causing swelling of the parotid gland (one of the three glands which secrete saliva), due to its stimulatory effects on saliva production.[40]

A saturated solution of KI (SSKI) is typically given orally in adult doses of about 250 mg iodide several times a day (5 drops of SSKI assumed to be ⅓ ml) for thyroid blockade (to prevent the thyroid from excreting thyroid hormone) and occasionally this dose is also used when iodide is used as an expectorant. The anti-radioiodine doses used for I-131 uptake blockade are lower, and range downward from 100 mg a day for an adult, to less than this for children (see table). All of these doses should be compared with the far lower dose of iodine needed in normal nutrition, which is only 150 μg per day (150 micrograms, not milligrams).

At maximal doses, and sometimes at much lower doses, side effects of iodide used for medical reasons, in doses of 1000 times the normal nutrional need, may include: acne, loss of appetite, or upset stomach (especially during the first several days, as the body adjusts to the medication). More severe side effects which require notification of a physician are: fever, weakness, unusual tiredness, swelling in the neck or throat, mouth sores, skin rash, nausea, vomiting, stomach pains, irregular heartbeat, numbness or tingling of the hands or feet, or a metallic taste in the mouth.[41]

Precautions

Potassium iodide is a mild irritant and should be handled with gloves. Chronic overexposure can have adverse effects on the thyroid. Potassium iodide is a possible teratogen.

References

  1. ^ a b Phyllis A. Lyday. "Iodine and Iodine Compounds". Ullmann's Encyclopedia of Industrial Chemistry. Weinheim: Wiley-VCH.
  2. ^ "Potassium Iodide Dosage Guidelines & Frequently Asked Questions". Preparedness.com. 2001-12-10. http://preparedness.com/potioddosgui.html. Retrieved 2011-03-23.
  3. ^ "SSKI Drug Information, Professional". Drugs.com. http://www.drugs.com/mmx/sski.html. Retrieved 2011-03-23.
  4. ^ Viscous liquids have about 15 drops per mL, not 20
  5. ^ "Kelp, Herb Monograph - Flora Health Herb Encyclopedia". Florahealth.com. http://www.florahealth.com/flora/home/Canada/HealthInformation/Encyclopedias/Kelp.htm. Retrieved 2011-03-23.
  6. ^ http://www.ncbi.nlm.nih.gov/pubmed/15588380
  7. ^ "Medicinal Uses of Seaweeds". Ryandrum.com. http://www.ryandrum.com/seaweeds.htm. Retrieved 2011-03-23.
  8. ^ N. N. Greenwood, A. Earnshaw, Chemistry of the Elements, Pergamon Press, Oxford, UK, 1984
  9. ^ Handbook of Chemistry and Physics, 71st edition, CRC Press, Ann Arbor, Michigan, 1990
  10. ^ The Merck Index, 7th edition, Merck & Co., Rahway, New Jersey, 1960
  11. ^ L. G. Wade, Organic Chemistry, 5th ed., pp. 871-2, Prentice Hall, Upper Saddle RIver, New Jersey, 2003.
  12. ^ J. March, Advanced Organic Chemistry, 4th ed., pp. 670-1, Wiley, New York, 1992.
  13. ^ Chmyrov, Andriy; Sanden, Tor; Widengren, Jerker (2010). "Iodide as a Fluorescence Quencher and Promoter—Mechanisms and Possible Implications". The Journal of Physical Chemistry B 114 (34): 11282–11291. doi:10.1021/jp103837f. PMID 20695476.
  14. ^ Katarzyna Waszkowiak & Krystyna Szymandera-Buszka. Effect of storage conditions on potassium iodide stability in iodised table salt and collagen preparations. International Journal of Food Science & Technology. Volume 43 Issue 5, Pages 895 -899. (Published Online: 27 November 2007)
  15. ^ solubility of KI in water
  16. ^ density of SSKI when saturated; not an easy number to find. Note that this number cannot be simply calculated, since 140 g of KI (44.8 mL solid) and 100 mL of water give less more than 100 mL of solution, and slightly less than their combined volumes which would be 144.8 mL of solution (in fact they give about 140 mL of solution).
  17. ^ "Iodine." MedlinePlus.
  18. ^ Xue, S.; Gu, R.; Wu, T.; Zhang, M.; Wang, X.; Wu, Taixiang (2009). "Oral potassium iodide for the treatment of sporotrichosis". Cochrane database of systematic reviews (Online) (4): CD006136. doi:10.1002/14651858.CD006136.pub2. PMID 19821356
  19. ^ Marshall, JK; Irvine, EJ (September 1997). "Successful therapy of refractory erythema nodosum associated with Crohn's disease using potassium iodide.". Can J Gastroenterol 11 (6): 501–2. PMID 9347164.
  20. ^ Kowalsky RJ, Falen, SW. Radiopharmaceuticals in Nuclear Pharmacy and Nuclear Medicine. 2nd ed. Washington DC: American Pharmacists Association; 2004.
  21. ^ a b https://www.eanm.org/scientific_info/guidelines/gl_paed_mibg.pdf?PHPSESSID=46d05b62d235c36a12166bf939b656c7
  22. ^ "43-2035 AdreView Panel PI 091908:Layout 1" (PDF). http://nuclearpharmacy.uams.edu/resources/adreview.pdf. Retrieved 2011-03-23.
  23. ^ Iobenguane Sulfate I 131 Injection Diagnostic package insert. Bedford, MA: CIS-US, Inc. July 1999.
  24. ^ https://www.eanm.org/scientific_info/guidelines/gl_radio_ther_benzyl.pdf?PHPSESSID=46d05b62d235c36a12166bf939b656c7
  25. ^ a b c "Guidelines for Iodine Prophylaxis following Nuclear Accidents" (PDF). World Health Organization. 1999. http://www.who.int/ionizing_radiation/pub_meet/Iodine_Prophylaxis_guide.pdf.
  26. ^ "FAQs: Japan nuclear concerns". World Health Organization. http://www.who.int/hac/crises/jpn/faqs/en/index6.html. Retrieved 1 April 2011.
  27. ^ By 21 C.F.R. 184.1634, the maximum allowable concentration of iodine in salt in the U.S. is .01%
  28. ^ "Safety (MSDS) data for sodium chloride". http://ptcl.chem.ox.ac.uk/MSDS/SO/sodium_chloride.html.
  29. ^ a b "Potassium Iodide as a Thyroid Blocking Agent in Radiation Emergencies" (PDF). U.S. Department of Health and Human Services Food and Drug Administration Center for Drug Evaluation and Research (CDER). December, 2001. http://www.birdflumanual.com/resources/Self_Defense/files/Guidance%20for%20use%20of%20KI%20for%20nuclear%20emergency%20USG.pdf.
  30. ^ Frot, Jacques; Berol Robinson (translator) The Causes of the Chernobyl Event, Environmentalists for Nuclear Energy. (Report).
  31. ^ US Nuclear Regulatory Commission, Report on the Accident at the Chernobyl Nuclear Power Station, NUREG-1250.
  32. ^ "Iodine Prophylaxis in Poland After the Chernobyl Reactor Accident: Benefits and Risks". American Journal of Medicine 94. 1993.
  33. ^ US Food and Drug Administration, FDA Talk Paper: Guidance on Protection Against Thyroid Cancer in Case of a Nuclear Accident
  34. ^ US Nuclear Regulatory Commission, Assessment of the Use of Potassium Iodide (KI) As a Public Protective Action During Severe Reactor Accidents Quoting Thyroid Cancer in Children of Belarus Following the Chernobyl Accident, NUREG-1633
  35. ^ United Nations: Office for the Coordination of Humanitarian Affairs (OCHA), Chernobyl, a Continuing Catastrophe, New York and Geneva, 2000
  36. ^ "Thyroid Disease 60 Years After Hiroshima and 20 Years After Chernobyl". JAMA 295 (9). 2006.
  37. ^ US Federal Register (US Office of the Federal Register, National Archives and Records Administration) 43 (242). December 15, 1978.
  38. ^ "REQUEST FOR INFORMATION:CRITICAL FOREIGN DEPENDENCIES". Cryptome. 2009-02. http://cryptome.org/0003/ci-kr-spy.htm.
  39. ^ "Vegetables near stricken plant test high for radiation". CNN. 2011-03-22. http://www.cnn.com/2011/WORLD/asiapcf/03/22/japan.nuclear.reactors/index.html.
  40. ^ McCance; Huether. "Pathophysiology: The biological basis for disease in Adults and Children". 5th Edition. Elsievier Publishing
  41. ^ March 23, 2011. "POTASSIUM IODIDE - ORAL (SSKI) side effects, medical uses, and drug interactions". Medicinenet.com. http://www.medicinenet.com/potassium_iodide-oral/article.htm. Retrieved 2011-03-23.


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