Meropenem (Merrem) Nursing Considerations

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Kara Tarr
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Drug Card Meropenem (Merrem) (Cheatsheet)
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Outline

Generic Name

Meropenem

Trade/Brand Name

Merrem

Indication

  • Bacterial meningitis
  • Skin and skin structure infections
  • Complicated intra-abdominal infections
  • Sepsis/Septic shock

Action

Inhibits bacterial wall synthesis

Therapeutic Class

Antibiotic

Pharmacologic Class

Carbapenem

Nursing Considerations

  • Caution in patients with cephalosporin allergy
  • May cause
    • Seizures
    • Anaphylactic reactions
    • C-diff
  • May lead to
    • Stevens-Johnson syndrome
    • Superinfection

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Transcript

Hey guys, let’s talk about Meropenem, also known as Meru. This is an injectable medication, as you can see here, this IV hanging. 

Okay. So remember when we are talking about the therapeutic class of a drug, we’re talking about how the drug works in the body and for Meropenem, this is an anti-infective. The pharmacologic class of Meropenem is a carbopenem, which is the chemical effect of the drug. So Meropenem works by inhibiting bacterial cell wall synthesis, which is why we use it for the treatment of bacterial meningitis for skin and skin structure infections for the treatment of complicated interabdominal infections and also for SEP sepsis or septic shock. So for Meripenem sometimes we see side effects that include things like constipation, redness at the injection site, because it’s an IV medication, headache and nausea. 

Okay. Let’s take a look at a few nursing considerations for Meropenem meropenam may cause seizures. It may cause C diff and also an anaphylactic reaction use caution in patients who have a cephalosporin allergy and also meropenum may lead to Steven’s Johnson syndrome. Remember this is a skin syndrome or also a super infection teach the patient to report effects to the provider, especially those skin issues. So guys here is something interesting. According to the CDC, Meropenem is actually used for the prevention and treatment of anthrax issues. That’s it for Meropenem or marrow now go out and be your best self today and as always happy nursing.

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Neuro

Concepts Covered:

  • Multisystem
  • Neurological
  • Nervous System
  • Emergency Care of the Neurological Patient
  • Central Nervous System Disorders – Brain
  • Cognitive Disorders
  • Neurologic and Cognitive Disorders
  • Medication Administration
  • Central Nervous System Disorders – Spinal Cord
  • Studying
  • Terminology
  • Peripheral Nervous System Disorders
  • Neurological Emergencies
  • Cardiac Disorders
  • Neurological Trauma
  • Emergency Care of the Trauma Patient
  • Shock

Study Plan Lessons

07.01 CVA (Cerebrovascular Accident/Stroke) for CCRN Review
07.02 Neuro Anatomy for CCRN Review
Acute Confusion
Adjunct Neuro Assessments
Altered Mental Status Nursing Mnemonic (AEIOU TIPS)
Altered Mental Status- Delirium and Dementia for Progressive Care Certified Nurse (PCCN)
Anticonvulsants
Autonomic Nervous System (ANS)
AVPU Mnemonic (The AVPU Scale)
Blood Brain Barrier (BBB)
Encephalopathies
Electroencephalography (EEG)
Increased Intracranial Pressure
Levels of Consciousness (LOC)
Mannitol (Osmitrol) Nursing Considerations
Multiple Sclerosis Symptoms Nursing Mnemonic (DEMYELINATION)
Neuro A&P Module Intro
Nervous System Anatomy
Nerve Transmission
Neuro Terminology
Neurological Disorders (Multiple Sclerosis, Myasthenia Gravis, Guillain-Barré Syndrome) for Certified Emergency Nursing (CEN)
Nursing Care Plan (NCP) for Guillain-Barre
Nursing Care Plan (NCP) for Meningitis
Nursing Care Plan (NCP) for Multiple Sclerosis (MS)
Nursing Care Plan (NCP) for Myasthenia Gravis (MG)
Seizure Causes (Epilepsy, Generalized)
Seizure Disorder for Progressive Care Certified Nurse (PCCN)
Seizure Management in the ER
Stroke Assessment (CVA)
Stroke Case Study (45 min)
Stroke Concept Map
Transient Ischemic Attack (TIA) for Certified Emergency Nursing (CEN)
07.05 Supratentorial Herniation: Cushings Triad for CCRN Review
Alteplase (tPA, Activase) Nursing Considerations
Cerebral Angiography
Cerebral Palsy (CP)
Brain Tumors
Brain Death v. Comatose
Cranial Nerve Mnemonic 01 Nursing Mnemonic (Olympic Opium Occupies Troubled Triathletes After Finishing Vegas Gambling Vacations Still High)
Cranial Nerve Mnemonic 02 Nursing Mnemonic (Oh Oh Oh To Touch And Feel Very Good Velvet AH!)
Cranial Nerves
Head Trauma & Traumatic Brain Injury
Meningitis
Meningitis Assessment Findings Nursing Mnemonic (FAN LIPS)
Meropenem (Merrem) Nursing Considerations
Nursing Care and Pathophysiology for Meningitis
Nursing Care and Pathophysiology for Seizure
Nursing Care Plan (NCP) for Encephalopathy
Nursing Care Plan (NCP) & Interventions for Increased Intracranial Pressure (ICP)