Which of the following patients would require greater amounts of fluid resuscitation to prevent acute kidney injury associated with rhabdomyolysis? (Select all that apply.)
a. Crush injury to right arm
b. Gunshot wound to the abdomen
c. Lightning strike of the left arm and chest
d. Pulmonary contusion and rib fracture
A, C
Causes of rhabdomyolysis include crush injuries, compartment syndrome, burns, and injuries from being struck by lightning. Acute kidney injury may result from a gunshot wound related to prolonged hypotension. Acute kidney injury would not have a direct cause associated with a pulmonary contusion.
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