Rhabdomyolysis Flashcards
1
Q
Effects of rhabdomyolysis on kidneys
A
Myoglobin filtered by glomeruli, obstructing the tubules
2
Q
When do urine changes occure with rhabdomyolysis
A
red/brown (tea/cola) coloured urine
visible at urine myoglobin >250 micrograms/ml
3
Q
Dx of rhabdomyolysis
A
Plasma CK >1000 iU/L
4
Q
Complications of rhabdomyolysis
A
AKI (12-24hrs after)
DIC
5
Q
Rx of rhabdomyolysis
A
Urgent Hyperkalaemia rx
IV fluids (initially up to 1.5 L) to keep myoglobin con low, stop AKI
IV sodium bicarb
Dialysis/ICU may be needed
6
Q
Effect of sodium bicarb for rhabdo
A
alkalinises the urine
stabilises a less toxic form of myoglobin
