Ertapenem (invanz)

NURS 1566 Clinical Form 3: Clinical Medications Worksheets (You will need to make additional copies of these forms) Generic Name Ertapenem

Trade Name Invanz

Classification Dose Route Time/frequency Anti-infectives, 1 gm IVPB Q day carbapenems Peak Onset Duration Normal dosage range End of infusion Rapid 24 hr Reconstitute 1-g vial with 10ml of sterile or bacteriostatic water for injection or 0.9% NaCl and shake well. Transfer solution to 50 ml of 0.9% NaCl. Give within 6 hr of reconstitution. Rate. Give over 30 min. do not administer direct IV Why is your patient getting this medication For IV meds, compatibility with IV drips and/or Infected wound on leg solutions Do not infuse with other medications Mechanism of action and indications (Why med ordered) Moderate to severe complicated skin infection Bactericidal action against specific aerobic grampositive organisms.

Nursing Implications (what to focus on) Contraindications/warnings/interactions Hypersensitivity, cross-sensitivity reactions with penicillins, cephalosporins, and other carbapenems Common side effects Diarrhea, headache, constipation, rash

Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically) None

Lab value alterations caused by medicine May cause ↑ AST, ALT, serum alkaline phosphatase, ↑in platelet and eosinophil Be sure to teach the patient the following about this medication Report signs of super infection (black hairy tongue, loose foul-smelling stool) allergy. If fever and diarrhea occur, call dr., esp. if the stool contains blood, pus, or mucus. Do not treat diarrhea without consulting a professional.

Nursing Process- Assessment (Pre-administration assessment) Assess for infection (vital signs, appearance of wound, sputum, urine, and stool; WBC) at beginning of and during therap. Ask about antibiotic allergy. Obtain specimen for culture and sensitivity before starting therapy

Assessment Why would you hold or not give this med? S/S of anaphylaxis (rash, itching, wheezing, throat swelling)

Evaluation Check after giving Resolution of the s/s of infection.