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.


  • Ramipril (ACE inhibitor) [undo]
  • Preparación de cultivos líquidos [undo]
  • Salmeterol (LABA) [undo]
  • Further developments [undo]
  • Chief complaint [undo]
  • E [undo]
  • Sensation test [undo]
  • Reschedule with alternative (e.g., WhatsApp call) if needed [undo]
  • Go to Espresso House instead. [undo]
  • The Onset [undo]
  • Taking Medical History [undo]
  • Αντιμετώπιση [undo]
  • Answer 2 - hypotonic is distilled water, hypertonic is 6% NaCl, isotonic is 0.9% NaCl [undo]
  • Motor Exam [undo]
  • Κλινική εξέταση [undo]
  • Too long to wait [undo]
  • Ipratropium (SAMA, anticholinergic)) [undo]
  • History of Medication Compliance [undo]
  • A [undo]
  • Εκπαιδεύοντας τον ασθενή σας στην αυτοδιαχείριση [undo]
  • Αποτελέσματα καρυοτύπου [undo]
  • Έναρξη γενικής θεραπευτικής αγωγής και βιοψία νεφρού [undo]
  • Diploid și haploid [undo]
  • Περαιτέρω διερεύνηση/ προγραμματισμένη χειρουργική αντιμετώπιση [undo]
  • He feels mad. [undo]
  • She will wear her sunglasses. [undo]
  • Objective examination [undo]
  • To protect our clothes underneath. White is a universal colour which you can find in any country [undo]
  • Premature Medicalization [undo]
  • Dominant și recesiv [undo]
  • History of hypertension and type 2 diabetes mellitus [undo]
  • Κλινική εξέταση [undo]
  • Aggressive / Confrontational [undo]
  • Genotip [undo]
  • Dominant and recessive [undo]
  • Genotip și fenotip [undo]
  • Validate the emotion [undo]
  • Etanol [undo]
  • Μέσο ενισχυμένο για βακτηριακή ανάπτυξη (LB Broth) [undo]
  • To protect our clothes underneath. White matches with any skin colour tone [undo]
  • Salbutamol (SABA) [undo]
  • They remember fishing in the lake. [undo]
  • Επιπλέον ιστορικό [undo]
  • Decision: Initial Approach [undo]
  • Εργαστηριακοί Ζυγοί I [undo]
  • Ζητάς απεικονιστικό έλεγχο [undo]
  • Costas and his father discuss at the park. [undo]
  • Nebulized ipratropium [undo]
  • ΚΛΙΝΙΚΗ ΕΞΕΤΑΣΗ [undo]
  • Amnestic exam [undo]
  • Οδηγίες για χορήγηση σταγόνων στα παιδιά [undo]
  • Εκλεκτική διαπερατότητα [undo]
  • Cranial Nerves [undo]
  • Gastrointestinal symptoms [undo]
  • Grapefruit-thiazide diuretic interaction [undo]
  • Δεν κινδυνεύει [undo]
  • Labs [undo]
  • Οδηγίες [undo]
  • Επιπλέον λεπτομερές ιστορικό [undo]
  • Γονότυπος [undo]
  • Αλληλόμορφα [undo]
  • Εγκεφαλογράφημα [undo]
  • Use open-ended questions and clarify priority symptoms (pain, discharge, fever). [undo]
  • Other options for pain management [undo]
  • Option 3 [undo]
  • Diploid and Haploid [undo]
  • Inhalational fluticasone [undo]
  • 37°C, ατμοσφαιρικά επίπεδα O₂, 5% επίπεδα CO₂ [undo]
  • Decision Point [undo]
  • Καλλιεργητικό υλικό χαμηλής γλυκόζης (DMEM-LG) [undo]
  • Trying to explain [undo]
  • Επιλογή 2: Μόνο το B είναι σωστό [undo]
  • Ignore the emotional expression. [undo]
  • Guanethidine [undo]
  • The price is so high [undo]
  • Prepararea culturilor lichide [undo]
  • LB [undo]
  • Taq polimerază [undo]
  • Αιμοληψία στο Κέντρο Αναφοράς [undo]
  • History of TB [undo]
  • What happens with the Age? [undo]
  • Temporarily stop taking metformin [undo]

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

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