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
  • Start [undo]
  • To protect our clothes underneath. White matches with any skin colour tone [undo]
  • Περιγεννητικό ιστορικό [undo]
  • Opțiunea 1: Pentru siguranța noastră și a colegilor noștri în timpul și după practica de laborator [undo]
  • Самолікуватися — це вихід. Рослинні або заспокійливі препарати підійдуть. [undo]
  • Permeabilidad selectiva [undo]
  • Jeg forklarer foreldrene at jeg tar opp saken med assistenten så fort så mulig [undo]
  • Molecular Cloning [undo]
  • Patient uses an mHealth application [undo]
  • Aιτία προσέλευσης [undo]
  • Comienza sumergiendo la pipeta en el líquido que pretendes aspirar [undo]
  • Definition 1 [undo]
  • Option 1: A and C are correct [undo]
  • Tar jeg den opp på neste avdelingsmøtet [undo]
  • Alelă [undo]
  • Does medication need to be modified? [undo]
  • Node 3: Address each concern in detail [undo]
  • ΜΕΤΑΒΟΛΙΣΜΟΣ ΤΩΝ ΚΥΤΤΑΡΙΚΩΝ ΕΝΖΥΜΩΝ (PH/ΘΕΡΜΟΚΡΑΣΙΑ) [undo]
  • Basic Enzyme Definitions [undo]
  • Quit therapy for now [undo]
  • Opțiunea 2: Pentru a identifica și manipula corespunzător materialele periculoase din laborator [undo]
  • Start by selecting the pipette appropriate for your volume. [undo]
  • Αντιμετώπιση των λίθων ουρητήρα και αφαίρεση του επασβεστωμένου stent [undo]
  • Bone Marrow Aspirate [undo]
  • Δεν κάνει τίποτα [undo]
  • FSH, LH, E2, AMH [undo]
  • Start by immersing the pipette in the liquid you intent to aspirate. [undo]
  • Η γυναίκα έχει χαμηλό ωοθηκικό απόθεμα [undo]
  • Adverse effect to budesonide [undo]
  • Prl, TSH, fT3, fT4, DHEAS, fTesto [undo]
  • First node [undo]
  • Τεστ Fehling’s [undo]
  • Αιτείστε ενός τεστ ιδρώτα [undo]
  • Presentation [undo]
  • OK, let’s move to the next excercise [undo]
  • Definition 2 [undo]
  • Αντιμετώπιση του λίθου της κύστης [undo]
  • Συμπτώματα στο πρόσφατο παρελθόν [undo]
  • Tell the patient to change devices without giving proper guidance. [undo]
  • Labs [undo]
  • Γονότυπος [undo]
  • Αντιμετώπιση των λίθων κύστης, ουρητήρα και κάτω πόλου σε ένα χρόνο [undo]
  • Assess the situation to identify any potential risks to yourself or the victim. Secure the victim with the help of a third party. [undo]
  • Send for a Chest Radiograph today [undo]
  • Αλληλόμορφα [undo]
  • Η γυναίκα είναι απολύτως φυσιολογική [undo]
  • Αντιμετώπιση του λίθου του κάτω πόλου του νεφρού [undo]
  • Option 1 [undo]
  • Genome Sequencing [undo]
  • Option 2 [undo]
  • Other options for pain management [undo]
  • ΘΕΡΑΠΕΙΑ [undo]
  • Temporarily stop taking metformin [undo]

Map: Michael Green_GEMD_2 (1116)
Node: 21121
Score:

reset

OpenLabyrinth
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Review your pathway

  • Відпочити та зменшити навантаження.
  • Start
  • To protect our clothes underneath. White matches with any skin colour tone
  • Περιγεννητικό ιστορικό
  • Opțiunea 1: Pentru siguranța noastră și a colegilor noștri în timpul și după practica de laborator
  • Самолікуватися — це вихід. Рослинні або заспокійливі препарати підійдуть.
  • Permeabilidad selectiva
  • Jeg forklarer foreldrene at jeg tar opp saken med assistenten så fort så mulig
  • Molecular Cloning
  • Patient uses an mHealth application
  • Aιτία προσέλευσης
  • Comienza sumergiendo la pipeta en el líquido que pretendes aspirar
  • Definition 1
  • Option 1: A and C are correct
  • Tar jeg den opp på neste avdelingsmøtet
  • Alelă
  • Does medication need to be modified?
  • Node 3: Address each concern in detail
  • ΜΕΤΑΒΟΛΙΣΜΟΣ ΤΩΝ ΚΥΤΤΑΡΙΚΩΝ ΕΝΖΥΜΩΝ (PH/ΘΕΡΜΟΚΡΑΣΙΑ)
  • Basic Enzyme Definitions
  • Quit therapy for now
  • Opțiunea 2: Pentru a identifica și manipula corespunzător materialele periculoase din laborator
  • Start by selecting the pipette appropriate for your volume.
  • Αντιμετώπιση των λίθων ουρητήρα και αφαίρεση του επασβεστωμένου stent
  • Bone Marrow Aspirate
  • Δεν κάνει τίποτα
  • FSH, LH, E2, AMH
  • Start by immersing the pipette in the liquid you intent to aspirate.
  • Η γυναίκα έχει χαμηλό ωοθηκικό απόθεμα
  • Adverse effect to budesonide
  • Prl, TSH, fT3, fT4, DHEAS, fTesto
  • First node
  • Τεστ Fehling’s
  • Αιτείστε ενός τεστ ιδρώτα
  • Presentation
  • OK, let’s move to the next excercise
  • Definition 2
  • Αντιμετώπιση του λίθου της κύστης
  • Συμπτώματα στο πρόσφατο παρελθόν
  • Tell the patient to change devices without giving proper guidance.
  • Labs
  • Γονότυπος
  • Αντιμετώπιση των λίθων κύστης, ουρητήρα και κάτω πόλου σε ένα χρόνο
  • Assess the situation to identify any potential risks to yourself or the victim. Secure the victim with the help of a third party.
  • Send for a Chest Radiograph today
  • Αλληλόμορφα
  • Η γυναίκα είναι απολύτως φυσιολογική
  • Αντιμετώπιση του λίθου του κάτω πόλου του νεφρού
  • Option 1
  • Genome Sequencing
  • Option 2
  • Other options for pain management
  • ΘΕΡΑΠΕΙΑ
  • Temporarily stop taking metformin

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