Rhabdomyolysis - page 3

by julz68

3,674 Views | 26 Comments

Can someone explain what exactly this entails? I'm a new grad fresh off orientation (2 months) and had a pt with this condition last noc. He also had a hx of CHF and had NS running at 200/hr. I was really nervous about the fluid... Read More


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    Just thought I'd add that Rhabdomylosis can be a serious complication from statin medications, as was the case for a patient I assisted with during my first semester of nursing school.
    linzjane88, AJJKRN, and Esme12 like this.
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    Reading this i seriously wonder how my pt with Rhabdo is doing since we sent him home instead of admitting him. I did not like it at all and charted my butt off on him but I guess we will see if his kidneys shut down sometime soon.
    Esme12 likes this.
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    Quote from RNitis

    Don't mind some of the people on here, really...this site has alot of great nurses who want to share their stories and experiences..I've also stoppped posting bc there's always that one person who has to turn the mood negative..just ignore them. Take what you can use and leave the rest!
    Thanks! Yeah, there seems to always be one that has a snarky remark. I just tend to take things to heart more often than not.
    I do value the advice and opinions of seasoned nurses on here tho, so I guess I will have to just ignore the ones who try and make me feel bad and concentrate on the replies from those who want to help. It's hard enough to be a new nurse wanting to learn when some people go out of their way to make you feel like a total idiot! Ha!
    OCNRN63 likes this.
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    Quote from MauraRN
    I had a middle-aged CHFr with rhabdo as a s/e of a statin med. By the time the doc made the dx, pt was in ARF, we were pumping him full of fluid at 300ml/hr despite the CHF. He recovered slowly. I think you asked a terrific question and it sounds like you provided proper care and assessment, your nursing gut told you to watch the lungs, you were right on.
    Thank you!
    My pt is recovering slowly as well. His out put is getting better, but I had to call last night to decrease his fluids a bit because he was starting to show signs of CHF. He was having expiratory wheezes anteriorly and crackles in the bases posteriorly. Doc said to only decrease to 150/hr tho. He was at 200.
    I have the next 2 nights off...I'm curious if he'll still be there when I return.
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    Quote from That Guy
    Reading this i seriously wonder how my pt with Rhabdo is doing since we sent him home instead of admitting him. I did not like it at all and charted my butt off on him but I guess we will see if his kidneys shut down sometime soon.
    Why did they choose not to admit him? That's a bit scary.
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    I saw Rhabdo over the winter in a child with the Flu. It's one of the rare complications of Flu. I think it's interesting how varied the causes of it can be!
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    This happened to a friend of mine. Recently put on a statin and began an exercise program and diet in the way of lifestyle change. Ended up in the hospital on fluids because of Rhabdo. I doubt the exercise alone would have done it.


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