Flashcards in Rhabdomyolysis Deck (10):
Treatment for suspected rhabdomyolysis?
1. Aggressive IV hydration with normal saline
2. Chemical restraint of patient to prevent further damage
Inhaling cocaine can cause?
Pneumonitis or ARDS
Treatment of cocaine induced cardiac ischemia?
Aspirin, benzodiazepines, and nitrates
Avoid beta blockers because they may exacerbate alpha-mediated vasoconstriction
Cocaine can cause rhabdomyolysis how? PCP?
Direct my toxicity or vasoconstrictive ischemia
Muscle breakdown from overexertion
Drugs that cause of rhabdomyolysis?
Drugs (cocaine, amphetamine, LSD, heroin, PCP, alcohol)
Medications (diuretics, narcotics, theophylline, steroids, benzodiazepines, tricyclics)
Other causes of rhabdomyolysis?
Mechanisms of the effects of muscle breakdown on kidney?
1. Myoglobin can precipitate kidney tubules causing the acute renal failure
2. Damage muscle cancer sequester fluid leading to intravascular depletion and hypovolemia
3. Free iron toxic to renal tubules
Key finding in urine analysis of rhabdomyolysis?
Urine dipstick shows blood but no red blood cells seen on microscopy Indicates (hemoglobinuria or myoglobinuria)
Left untreated, early complications of rhabdomyolysis?
Hyperkalemia, hypocalcemia, arrhythmias, cardiac arrest