Heat cramps: Difference between revisions
(Text replacement - "opiates" to "opioids") |
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*Pain is difficult to treat | *Pain is difficult to treat | ||
**Often does not respond to opioids alone | **Often does not respond to opioids alone | ||
*Mild symptoms: sports drinks | *Hydration | ||
*Severe symptoms: IV normal saline | **Mild symptoms: sports drinks | ||
**Severe symptoms: IV normal saline | |||
==Disposition== | ==Disposition== | ||
Revision as of 22:14, 8 December 2016
Background
- Occurs to those who sweat profusely and replace fluid losses with water
- May occur during exercise, but more common during rest several hours later
- Typically does not involve enough muscle mass to cause rhabdomyolysis[1]
Clinical Features
- Painful, involuntary, spasmodic contractions of skeletal muscles[2]
- Usually affects calves, may involve thighs and shoulders
Differential Diagnosis
Environmental heat diagnoses
Evaluation
- Clinical diagnosis
Management
- Self-limited
- Pain is difficult to treat
- Often does not respond to opioids alone
- Hydration
- Mild symptoms: sports drinks
- Severe symptoms: IV normal saline
Disposition
- Usually outpatient