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Male urinary system

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Rhabdomyolysis

Treatment: Early and aggressive hydration may prevent complications by rapidly eliminating the myoglobin out of the kidneys. The hydration needs with muscle necrosis may approximate the massive fluid volume needs of a severely burned patient. This may involve intravenous administration of several liters of fluid until the condition stabilizes. Diuretic medications such as mannitol or furosemide may aid in flushing the pigment out of the kidneys. If the urine output is sufficient, bicarbonate may be given to maintain an alkaline urine state. This helps to prevent the dissociation of myoglobin into toxic compounds. Text Continues Below Hyperkalemia should be treated if present. Kidney failure should be treated as appropriate. Expectations (prognosis): The outcome varies depending on the extent of kidney damage incurred. Complications: Acute tubular necrosis Acute renal failure Calling your health care provider: Call your health care provider if symptoms indicate rhabdomyolysis may be present.

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