The patient is admitted to the unit with the diagnosis of rhabdomyolysis.The patient is started on intravenous (IV)fluids and IV mannitol.Because mannitol is an osmotic diuretic,the nurse should:

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Mannitol,an osmotic diuretic often used in acute kidney injury caused by rhabdomyolysis,increases plasma volume.Patients may be at risk for the development of pulmonary edema due to the rapid expansion of intravascular volume triggered by mannitol.Hearing is assessed with administration of loop diuretics,such as furosemide,which have been associated with deafness.Aggressive fluid administration is required in rhabdomyolysis.Diuretics may increase the risk of acute kidney injury from volume depletion when they are given before procedures requiring radiological contrast agents or if the patient is hypovolemic.Adequate hydration prior to administration of diuretics is essential.

The Patient Is Admitted to the Unit with the Diagnosis