Treatment:

Early and aggressive fluids (hydration) may prevent complications by rapidly remove myoglobin out of the kidneys. Fluids may need to be given by I.V. The fluid needs with muscle necrosis may equal the massive fluid volume needs of a severely burned patient.

Medicines that may be prescribed include diuretics and bicarbonate (if urine output is sufficient).

Hyperkalemia should be treated if present. Kidney failure should be treated as appropriate.

Expectations (prognosis):

The outcome varies depending on the extent of kidney damage.

Complications:

• Acute tubular necrosis
• Acute renal failure

Calling your health care provider:

Call your health care provider if symptoms indicate rhabdomyolysis may be present.