management of haemochromogenuria / myoglobinuria / haemoglobinuria
Last edited 09/2021
The management of myoglobinuria or haemoglobinuria is best carried out under the guidance of a renal physician.
Management steps include:
- increasing a fluid challenge to ensure that the urine output is at least 1-2 mls/kg/hour
- alkalinization of the urine:
- reduces urinary crystallisation of haemochromogens
- add sodium bicarbonate to the resuscitation fluid at 25 mmol/litre of fluids
- forced diuresis:
- mannitol added to the fluids
- 12.5 g/litre of fluids