Internal Medicine Solution 13
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Option A
Treatment:
FLUIDS! 1.5 liters/hour of Normal saline
Maintain urine output at greater than 300 ml/hr until myoglobulinuria ceased or CK <1000>
Alkalinize urine to pH >6.5 by using Sodium Bicarbonate (decreases toxicity of myoglobin on tubules)
Dialysis- indicated if uremic encephalopathy, electrolyte abnormalities, worsening renal failure, uncontrolled hyperkalcemia, metabolic acidosis, or fluid overload
Do not give diuretics
Mannitol use is controversial
Category: Medicine MCQs
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