A 59-year-old man on high-intensity statin therapy develops muscle pain and weakness. CK is 12,000 U/L and creatinine is rising with dark urine. What ...

Question

A 59-year-old man on high-intensity statin therapy develops muscle pain and weakness. CK is 12,000 U/L and creatinine is rising with dark urine. What is the most appropriate immediate management?

Accepted Answer

Stop the statin, start aggressive IV fluid resuscitation and monitor renal function closely

Answer

Continue statin and observe CK

Answer

Switch to another statin immediately with no other management

Answer

Start oral bicarbonate only

Answer

Commence dialysis immediately without trial of fluids

au-amc MCQ (SBA): Rhabdomyolysis with acute kidney injury

A 59-year-old man on high-intensity statin therapy develops muscle pain and weakness. CK is 12,000 U/L and creatinine is rising with dark urine. What is the most appropriate immediate management?