Rhabdomyolysis

Get the details on rhabdomyolysis.

Rhabdomyolysis Treatment

Rhabdomyolysis treatment depends partly on the individual patient's condition. There are several main areas to consider:

Fluid therapy

Treatment is intended to treat the patient's shock, and preserve kidney function. Typically, saline IV fluids are generously provided. With crush syndrome patients, it may be recommended to begin administering fluids even before the victims are removed from their positions under the collapsed structure. Between 6 to 12 liters over a 24-hour period is the recommended range.

Electrolytes

Electrolyte levels are usually abnormal in the early stages of rhabdomyolysis. Also, calcium levels tend to be low initially. However, as the patient improves, calcium is released in the patient, and hypercalcemia may occur.

Acute kidney failure

Renal replacement therapy (RRT) may become necessary if acute renal failure develops in the rhabdomyolysis patient. The onset of this condition usually occurs 1-2 days after the initial damage to the muscle tissue. Hemodialysis and hemofiltration are possible options.

Compartment syndrome

Compartment syndrome may occur in individuals suffering from rhabdomyolysis. In such a case, it should be treated as it normally would be, while continuing to treat the rhabdomyolysis.

Read about compartment syndrome and other complications that can occur in patients with rhabdomyolysis.