Q:

A 32 year old miner is rescued after being trapped under a fallen rock for 4h. After applying a bladder catether, 15-20ml of reddish brown urine was obtained. HR 120bpm, SBP 100mmHg. What would be the next appropriate step?

waelhammad
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2022-11-05
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A 32 year old miner is rescued after being trapped under a fallen rock for 4h. After applying a bladder catether, 15-20ml of reddish brown urine was obtained. HR 120bpm, SBP 100mmHg. What would be the next appropriate step?

  1. Dopamine IV
  2. Fluid challenge
  3. Furosemide IV
  4. 20% Mannitol IV
  5. Antibiotics
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waelhammad
2022-11-05
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The key is B. Fluid challenge. [The diagnosis is rhabdomyolysis. So IV fluid is the next appropriate step].

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