Rhabdomyolysis. Pathophysiology, recognition, and management.
Rhabdomyolysis is a clinical syndrome in which the contents of injured muscle cells leak into the circulation. This leakage results in electrolyte abnormalities, acidosis, clotting disorders, hypovolemia, and acute renal failure. More than 100 conditions, both traumatic and non-traumatic, can lead to rhabdomyolysis. Intervention consists of early detection, treatment of the underlying cause, volume replacement, urinary alkalinization, and aggressive diuresis or hemodialysis. Patients with rhabdomyolysis often require intensive care, and critical care nurses are instrumental in both the early detection and the ongoing management of this life-threatening syndrome.
Criddle
Laura M
LM
Emergency Department, Trauma/Neuro Intensive Care Unit, Oregon Health & Science University, Portland, Ore., USA.
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000465:Algorithms; D015984:Causality; D003422:Critical Care / Q000379:methods; D003663:Decision Trees; D004232:Diuretics / Q000627:therapeutic use; D004573:Electrolytes / Q000097:blood; D005260:Female; D005440:Fluid Therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D018908:Muscle Weakness / Q000209:etiology; D024802:Nurse's Role; D011379:Prognosis; D006435:Renal Dialysis; D051437:Renal Insufficiency / Q000209:etiology; D012206:Rhabdomyolysis / Q000175:diagnosis / Q000209:etiology / Q000378:metabolism / Q000503:physiopathology / Q000628:therapy
D004232:Diuretics; D004573:Electrolytes