Rhabdomyolysis

[julz68]

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 rate since he did have CHF and his output (he had a Foley) was only 475mL my entire 12 hr shift. I assessed his lung sounds q2° because I was afraid of fluid overload. His lungs remained clear throughout my shift, thank God, but I'm just curious, is that a normal fluid rate for someone with rhabdo and a hx of CHF?

I discussed it with my CN and she just said to keep a close eye on his lung sounds, but didn't really offer any more insight into the disease process.

I work again tonight and more than likely will have this pt again. I just want to know more about what else I should be on the lookout for since this is the first time I've had this type of pt.

Thanks :)

[julz68]

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.

[Annaiya, NP]

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!

[mappers]

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.