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Questions and Answers
What is the trade name of ertapenem?
What is the trade name of ertapenem?
INVanz
What is the therapeutic effect of ertapenem?
What is the therapeutic effect of ertapenem?
Antiinfectives for moderate to severe infections including complicated intra-abdominal infections, complicated skin infections, community-acquired pneumonia, complicated urinary tract infections, and prophylaxis for surgical site infections.
Which of the following are side effects of ertapenem? (Select all that apply)
Which of the following are side effects of ertapenem? (Select all that apply)
- Hypersensitivity reactions (correct)
- Seizures (correct)
- Pseudomembranous colitis (correct)
- Nausea (correct)
What should a nurse assess when a patient is on ertapenem?
What should a nurse assess when a patient is on ertapenem?
What patient education should be provided regarding ertapenem?
What patient education should be provided regarding ertapenem?
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Study Notes
Ertapenem Overview
- Trade name: INVanz
- Class: Carbapenems; a group of broad-spectrum beta-lactam antibiotics.
Therapeutic Uses
- Treats various moderate to severe infections:
- Complicated intra-abdominal infections
- Complicated skin and skin structure infections
- Community-acquired pneumonia
- Complicated urinary tract infections, including pyelonephritis
- Acute pelvic infections like postpartum endomyometritis and septic abortion
- Used for prophylaxis in elective colorectal surgery to prevent surgical site infections.
Side Effects
- Potential to cause seizures.
- Risk of pseudomembranous colitis, characterized by:
- Diarrhea
- Nausea and vomiting
- Allergic reactions possible, including severe hypersensitivity and anaphylaxis.
Nursing Assessment
- Monitor for signs of anaphylaxis (e.g., rash, pruritus, laryngeal edema, wheezing) and notify healthcare providers immediately if these occur.
- Keep emergency treatment (epinephrine, antihistamines, resuscitation equipment) readily available.
- Observe bowel function for signs of pseudomembranous colitis such as diarrhea, abdominal cramping, fever, and bloody stools, which may arise weeks after therapy cessation.
- Lab tests may indicate elevated levels of AST, ALT, and alkaline phosphatase.
Patient Education
- Instruct patients to alert healthcare professionals if fever or diarrhea occurs, especially with bloody, pus-filled, or mucoid stools.
- Advise against self-treatment for diarrhea without prior consultation with a healthcare provider.
- Risk of diarrhea persists for several weeks post-treatment; discuss the use of antidiarrheals with healthcare providers before use.
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