You have a patient that was described as having rhabdomyolysis. He was competing

Question

You have a patient that was described as having rhabdomyolysis. He was competing in a softball tournament and after physically exerting himself over the weekend, he complained of weakness, muscle stiffness and noted dark, red colored urine.

Answer the following questions concerning your patient:

1. What is rhabdomyolysis?

2. What components seen in muscle cause the problem?

3. How is it treated?

4. Is electrolyte imbalance an issue?

5. Why would a condition that affects electrolyte imbalance problematic for the body?

Explanation / Answer

1.rhabdomyolysis is defined as a condition in which rapid break down of skeletal muscle occur

2.myoglobin which is breakdown product of hemoglobin eleased can cause tea colored urine, decrease urine output and can lead to kidney failure.

Creatine kinase breakdown product of skeletal muscle.

3.treatment is by intensive intravenous fluid therapy to maintain urine output. In some cases of severe damages dialysis may be needed till the kidneys are recovering

Surgical decompression is done in case compartment syndrome is developed

4.electrolyte imbalance is an issue due to release of break down products into the blood. It causes increase in potassium ions

5.hyperkalemia can cause irregular heart rhythm and can also cause kidney failure.. Where as phosphate released binds to calcium and causes low levels of calcium ion.

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