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Flashcards in Rhabdomyolysis Deck (10):
0

Treatment for suspected rhabdomyolysis?

1. Aggressive IV hydration with normal saline
2. Chemical restraint of patient to prevent further damage

1

Inhaling cocaine can cause?

Pneumonitis or ARDS

2

Treatment of cocaine induced cardiac ischemia?

Aspirin, benzodiazepines, and nitrates

Avoid beta blockers because they may exacerbate alpha-mediated vasoconstriction

3

Cocaine can cause rhabdomyolysis how? PCP?

Direct my toxicity or vasoconstrictive ischemia

Muscle breakdown from overexertion

4

Drugs that cause of rhabdomyolysis?

Drugs (cocaine, amphetamine, LSD, heroin, PCP, alcohol)

Medications (diuretics, narcotics, theophylline, steroids, benzodiazepines, tricyclics)

5

Other causes of rhabdomyolysis?

Trauma
High temperatures
Heatstroke
Strenuous exercise
Seizures

6

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

7

Key finding in urine analysis of rhabdomyolysis?

Urine dipstick shows blood but no red blood cells seen on microscopy Indicates (hemoglobinuria or myoglobinuria)

8

Left untreated, early complications of rhabdomyolysis?

Hyperkalemia, hypocalcemia, arrhythmias, cardiac arrest

9

Did not give patients with rhabdomyolysis these drugs, as they may worsen the situation?

Diuretics

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