Rhabdomyolysis

Body Systems › Renal / Urinary System › Rhabdomyolysis
Renal Clinical reference

Rhabdomyolysis

Rhabdomyolysis is skeletal muscle breakdown releasing myoglobin, causing AKI. Causes: trauma, statin myopathy, exertional, seizures, drugs. CK >1000 U/L. Aggressive IV hydration prevents AKI.

rhabdomyolysis rhabdo myoglobinuria crush syndrome
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Rhabdomyolysis

ICD-10 quick links

Codes

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M62.82 Rhabdomyolysis
Common tests

Tests performed

CK (creatine kinase — markedly elevated) BMP (AKI, hyperkalemia, hyperphosphatemia) Urinalysis (dark brown — myoglobinuria) Uric acid Calcium (often low) CBC Coagulation studies (DIC)
Common medications

Recognize the drug and the class

Aggressive IV normal saline (200-1000 mL/h — UO goal 200-300 mL/h) Treat underlying cause Sodium bicarbonate (urine alkalinization — controversial) Dialysis (severe AKI)
Related nursing diagnoses

NANDA diagnoses & care plans

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Acute Pain Risk for Electrolyte Imbalance Excess Fluid Volume (risk) Deficient Fluid Volume (initially)