Brief Answer:
Explained thoroughly, consult the team

Detailed Answer:
Thank you for asking!
Nursing is a very important caring factor and management plan for rhabdomyolysis management.
The management always start with Assessing the ABCs (A irway, B reathing, C irculation), and provide supportive care as needed. Ensure adequate hydration, and record urine output. Insert a Foley catheter for careful monitoring of urine output. 0.5 ml per kg per hour is advised and recommended one. Identify and correct the inciting cause of rhabdomyolysis (eg, trauma, infection, or toxins).

General recommendations for the treatment of rhabdomyolysis include fluid resuscitation and prevention of end-organ complications (eg, acute renal failure [ARF]). Other supportive measures include correction of electrolyte imbalances. Obtain an ECG to monitor effects of hyperkalemia and other electrolyte disturbances.

Serial physical examinations and laboratory studies are indicated to monitor for compartment syndrome, hyperkalemia, acute oliguric or nonoliguric renal failure, and disseminated intravascular coagulation (DIC). Compartment syndrome necessitates immediate orthopedic consultation for fasciotomy. DIC should be treated with fresh frozen plasma, cryoprecipitate, and platelet transfusions. Monitor cardiac function. Monitor creatine kinase (CK) levels to show resolution of rhabdomyolysis.

Once the patient’s condition has been stabilized and life- and limb-threatening conditions have been addressed, he or she may be transferred to another facility if necessary. Follow the guidelines of the Consolidated Omnibus Budget Reconciliation Act (COBRA) and the Emergency Medical Treatment and Labor Act (EMTALA). In natural disasters, patients often have to be evacuated out of affected areas and transported to locations that can provide dialysis services.

Once they are well hydrated, patients with normal renal function, normal electrolyte levels, alkaline urine, and an isolated cause of muscle injury may be discharged and monitored as outpatients. Any diagnostic or genetic tests during inpatient stay should be communicated to primary care or outpatient specialty physicians.
Fluid Resuscitation, Prevention of Acute Kidney Injury and Renal Failure and Correction of Electrolyte, Acid-Base, and Metabolic Abnormalities are the three main targets of the management.
Use of free-radical scavengers and antioxidants in rhabdomyolysis (eg, pentoxifylline, vitamin E, and vitamin C is advised and recommended.
DIet modifications like Dietary supplementation with glucose or fructose may decrease the pain and fatigue associated with phosphorylase deficiency. The muscle pain and myoglobinuria due to carnitine palmityl transferase deficiency may be reduced with frequent meals and a low-fat, high-carbohydrate diet. Substitution of medium-chained triglycerides may also be helpful.

Dietary modification does not seem to change the muscle symptoms of phosphofructokinase deficiency or phosphoglycerate mutase deficiency.

Strenuous activities (eg, competitive sports) should be avoided as they cause recurrent myalgias, myopathy, or rhabdomyolysis.

Alcohol should be avoided. Overdose of narcotics, sedative-hypnotics, or any other drugs known to cause immobilization and, hence, pressure necrosis should be avoided. Proper mental health and drug rehabilitation services should be offered to individuals with substance use disorders. Use of stimulants (eg, cocaine, amphetamines, or Ecstasy) should be discouraged.

Compliance with seizure and asthma medications may reduce status epilepticus, status asthmaticus, or both.

Any risky behavior that results in trauma should be avoided.

A team of nephrologist, neurologist and rheumatologist is needed to be in constant touch with for a better and fruitful management.

I hope it helps.

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