Optimal Management of Rhabdomyolysis

A patient is admitted to the hospital after doing 1000 squats in the middle of a Texas summer. His CK is through the roof, but renal function, for now, is normal. How do you manage this patient? How do you prevent acute kidney injury?! FLUIDS or DIALYSIS, until the CK comes down, right? That’s just the start! Best practices in the management of rhabdomylosis are discussed in the following review article in the New England Journal of Medicine, including guided fluid usage based on urine pH, treatment with sodium bicarbonate, and the use of mannitol! Take a look below:

NEJM RhabdoLink to the original article.