Rhabdomyolysis

The underlying cause of the rhabdomyolysis will often determine the proper care setting. Patients with traumatic crush injuries or severe alcohol or drug intoxication require monitoring and therapy in an intensive care environment. Continuous cardiac telemetry with frequent electrolyte sampling should be performed to detect and anticipate cardiac rhythm disturbances.

Serum creatine kinase levels should be determined periodically to follow therapy progress.

Urine output must be strictly monitored to ensure renal perfusion and adequacy of intravenous diuresis therapy. Urinary bladder catheterisation should be considered.