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Rabdomiólisis - Treatment

Tratamiento:

La administración oportuna y agresiva de líquidos (hidratación) puede prevenir el daño renal al eliminar rápidamente la mioglobina de los riñones. Es posible que sea necesario administrar líquidos por vía intravenosa (IV). Algunos pacientes pueden necesitar diálisis renal.

Los medicamentos que se pueden recetar abarcan diuréticos y bicarbonato (si la diuresis es suficiente).

Se deben tratar la hipercaliemia y los niveles bajos de calcio en la sangre (hipocalciemia) si están presentes. La insuficiencia renal se debe tratar en la medida en que se considere apropiado.

Pronóstico:

El desenlace clínico varía dependiendo de la magnitud del daño renal. La insuficiencia renal aguda ocurre en muchos pacientes. El tratamiento poco después de que la rabdomiólisis empiece reducirá el riesgo de daño crónico al riñón.

Las personas con casos más leves pueden retornar a la actividad normal al cabo de unas semanas a un mes o más. Sin embargo, algunas continúan teniendo problemas con la fatiga y el dolor muscular.

Cuándo contactar a un profesional médico:

Consulte con el médico si los síntomas indican la presencia de rabdomiólisis.

  • Reviewed last on: 8/13/2009
  • Parul Patel, MD, Private Practice specializing in Nephrology and Kidney and Pancreas Transplantation, Affiliated with California Pacific Medical Center, Department of Transplantation, San Francisco, CA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 114.

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