Case of the Month #27 - rhabdomyolysis
Tenets of Treatment
- Management of the underlying precipitant such as cessation of statins, release of compartment pressure, treatment of infection etc.
- Early identification and crystalloid fluid resuscitation (ideally within <6 hours as this is associated with a reduction in incidence of AKI).
- Consensus guidelines suggest maintaining urine output of 200-300ml/hr or 3mls/kg/hr until CK normalises4.
- Renal replacement therapy – commonest indications are metabolic acidosis and hyperkalaemia resistant to medical management.