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.


  • Propranolol, hydrocortisone [undo]
  • Option 3 [undo]
  • Προτείνεις να μαζέψουμε χρήματα. [undo]
  • To protect us from any spills. White is a colour where most spillages are visible depending solution colour [undo]
  • Increased secretion of insulin from the pancreas [undo]
  • Las células HeLa se cultivan fácilmente y son altamente proliferativas [undo]
  • Τα κύτταρα HeLa καλλιεργούνται εύκολα και παρουσιάζουν υψηλό ρυθμό πολλαπλασιασμού. [undo]
  • Answer [undo]
  • Ask Gastrointestinal Symptoms [undo]
  • Tele-Physical Examination [undo]
  • Digoxin (digitalis, positive inotropic drug) [undo]
  • Patient's daily activities, mobility, pain level [undo]
  • Start [undo]
  • Προτείνεις να δουλέψουμε μαζί τους στο νοσοκομείο. [undo]
  • how do you feel trying to lift your left arm, is it difficult? [undo]
  • Στεφανιαία Μονάδα [undo]
  • The patient will be dissatisfied, and might not come to the next appointment and you will lose the follow up. You will also not have enough data about patient’s progress. [undo]
  • Protection from the cars. [undo]
  • Ακτινογραφία Θώρακος [undo]
  • Επανάληψη νεφελοποιημένης αδρεναλίνης [undo]
  • new node [undo]
  • Τεστ ιωδίου [undo]
  • History of Medications [undo]
  • Furosemide (loop diuretic) [undo]
  • Meiosis [undo]
  • Temporarily stop taking metformin [undo]

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

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