MANAGEMENT

Rhabdomyolysis

 1. NSS ~ 400 ml /hr (200 - 1000 ml/hr)

monitor CVP
2. ~ 3 ml/kg/hr (200 ml/hr)
3. serum potassium
4. hypocalcemia severe hyperkalemia

5. urine pH. 6.5 Alkalinized urine bicarbonate

 6. potassium lactate
7. mannitol ( 200 gm/day 800 gm)

plasma osmolality plasma osmolal gap. [

diuresis urine 20 ml/hr ]

8. myoglobinuria urine dipstick test

9. Dialysis hyperkalemia [ 6.5 mmol /L EKG

, potassium 0.5 ml /Kg/hr

12 ., , , metabolic acidosis (pH
7.1) 10.

Education