MEROPENEM

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(mer-o’pe-nem)
Merrem
Classifications: antiinfective; carbapenem antibiotic
Prototype: Imipenem
Pregnancy Category: B

NURSING IMPLICATIONS

Assessment & Drug Effects

• Lab tests: Perform C&S tests prior to therapy. Monitor periodically liver and kidney function.
• Determine history of hypersensitivity reactions to other beta-lactams, cephalosporins, penicillins, or other drugs.
• Discontinue drug and immediately report S&S of hypersensitivity (see Appendix F).
• Report S&S of superinfection or pseudomembranous colitis (see Appendix F).
• Monitor for seizures especially in older adults and those with renal insufficiency.

Patient & Family Education

• Learn S&S of hypersensitivity, superinfection, and pseudomembranous colitis; report any of these to physician promptly.
• Do not breast feed while using this drug.

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