Identifying Rhabdomyolysis

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Specializes in Hospice, ALF, Prison.

Does anyone have experience with Rhabdomyolysis in a correctional setting?

What are the factors that you could use to identify it vs. regular muscular strain?

What are the treatments required?

Thanks.

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Does anyone have experience with Rhabdomyolysis in a correctional setting?

What are the factors that you could use to identify it vs. regular muscular strain?

What are the treatments required?

Thanks.

Three things off the bat if you suspect; Check their medications, check their urine and ask them what they have been doing exercise wise (these things can be done on the spot). . I backed those up with CMP (results available the next day) and repeated another CMP 30 days later.

IV hydration...

caveat: The cases I saw were results of exercise abuse.

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Specializes in ER,OR, Home Health, Occ. Health, Correct.

These cases can be very serious....I had a new transport arrive at my facility with a very severe case. He had been "dared" to do 500 sits up the night before. No nurse saw him the morning of transport. By the time he arrived here, I had to send him to the ER. He was admitted and ended up on dialysis due to acute kidney failure....so if in doubt...at least check a urine and see what that shows!

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Specializes in MHSA.

My first day in the infimary I saw a young man come in "peeing coffe grounds" as he stated. He had over done it in the yard at the weight pile.

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Specializes in LTC, Hospice, corrections, +.

I had a case of chronic exertional compartment syndrome, which I was able to discern from reading it on here!!! That was cool. Stopped exercising and eventually it subsided. Search for that thread, it was a good (short) one. The difference from muscle strain in my presentation was extreme swelling of both upper arms. It is definately something a correctional nurse should be aware of,

and I learned it on this site!

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