Q:

A 24 year old biker has been rescued after being trapped under rocks for almost 12 hours. He complains of reddish brown urine. His creatinine is 350umol/L and his urea is 15mmol/L. What is the most imp step in the management of this patient?

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A 24 year old biker has been rescued after being trapped under rocks for almost 12 hours. He complains of reddish brown urine. His creatinine is 350umol/L and his urea is 15mmol/L. What is the most imp step in the management of this patient?


  1. Dialysis
  2. IV NS
  3. IV dextrose
  4. IV KCl
  5. Pain relief

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Key is B. IV NS. [It is a case of rhabdomyolysis which is initially treated with IV NS].

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