Temporarily stop taking metformin

Dr McPhee explains to Mr. Green that he will need to withhold metformin 24 hours before and 48 hours after the investigation due to the potential toxic effects of the contrast dye on the kidneys. Dr. McPhee goes on to explain that metformin can accumulate if there is kidney damage, which will increase the risk for the serious adverse effect of lactic acidosis. Dr. McPhee explains that it is reasonable to continue metformin after the procedure once creatinine/eGFR are confirmed unchanged and Mr. Green is stable.

Mr. Green thanks you for the clear explanation.


  • Further Developments
End Session and View Feedback
  • Not satisfied [undo]
  • Results [undo]
  • Delay wound assessment until an in-person visit [undo]
  • Presentation [undo]
  • It is absolutely inadvisable to commence warfarin [undo]
  • Treatment [undo]
  • You order some lab tests [undo]
  • Ατελεκτασία_ [undo]
  • Warfarin may be commenced as an alternative to apixaban [undo]
  • Lansoprazole, bismuth subsalicytate, metronidazole, and tetracycline [undo]
  • Επιλογή ενδοφλέβιου αντιβιοτικού [undo]
  • 1cm έως 10m [undo]
  • Bedside Ultrasound Examination [undo]
  • Karyotype Results [undo]
  • History of Ischemic Stroke [undo]
  • If you use antacids, it is better to combine them with alginates [undo]
  • Allow the woman with the umbrella to decide how she can best help [undo]
  • A microscope that uses a fluorescence source to magnify objects [undo]
  • Esomeprazole, famotidine, amoxicillin [undo]
  • He shouts at his mother. [undo]
  • Opțiunea 2 [undo]
  • 5nm to 100μm [undo]
  • Brain and Body Training [undo]
  • Temporarily stop taking metformin [undo]

Map: Michael Green_GEMD_1 (1115)
Node: 21097
Score:

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OpenLabyrinth
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  • Propranolol, hydrocortisone
  • Not satisfied
  • Results
  • Delay wound assessment until an in-person visit
  • Presentation
  • It is absolutely inadvisable to commence warfarin
  • Treatment
  • You order some lab tests
  • Ατελεκτασία_
  • Warfarin may be commenced as an alternative to apixaban
  • Lansoprazole, bismuth subsalicytate, metronidazole, and tetracycline
  • Επιλογή ενδοφλέβιου αντιβιοτικού
  • 1cm έως 10m
  • Bedside Ultrasound Examination
  • Karyotype Results
  • History of Ischemic Stroke
  • If you use antacids, it is better to combine them with alginates
  • Allow the woman with the umbrella to decide how she can best help
  • A microscope that uses a fluorescence source to magnify objects
  • Esomeprazole, famotidine, amoxicillin
  • He shouts at his mother.
  • Opțiunea 2
  • 5nm to 100μm
  • Brain and Body Training
  • Temporarily stop taking metformin

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