The primary treatment for rhabdomyolysis is rapid initiation of intravenous (IV) fluids within 6 hours of admission.[3,8] No consensus guidelines suggest a specific type of fluid. Experimental studies have suggested benefit when mannitol is administered after IV saline resuscitation. Alkalinization of urine with sodium bicarbonate may reduce the risk for renal damage.
The patient was started on IV normal saline. At the time of discharge, his creatine kinase level had decreased to 1222 IU/L. His potassium level, which was checked 2 hours after IV fluid administration, was 3.9 mEq/L. With the seemingly popular rise of strenuous exercise programs, counseling patients regarding adequate hydration to reduce the risk for exercise-induced rhabdomyolysis is important.
Medscape © 2017 WebMD, LLC
Any views expressed above are the author's own and do not necessarily reflect the views of WebMD or Medscape.
Cite this: Faizah Siddique, Herbert S. Diamond. A 22-Year-Old Man in Pain After Collapsing - Medscape - Dec 04, 2017.