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.


  • State that assessment cannot continue without a clear image [undo]
  • Opțiunea 1: Pentru siguranța noastră și a colegilor noștri în timpul și după practica de laborator [undo]
  • Start by selecting the pipette appropriate for your volume. [undo]
  • The end [undo]
  • Opțiunea 2: Pentru a identifica și manipula corespunzător materialele periculoase din laborator [undo]
  • 1cm to 10m [undo]
  • Taq polymerase [undo]
  • Option 1 [undo]
  • Te gândești să mergem la o cafea cu medicii. [undo]
  • Reschedule without offering alternative solutions [undo]
  • Start by immersing the pipette in the liquid you intent to aspirate. [undo]
  • Decision Point [undo]
  • Τύπος διαβητικού έλκους [undo]
  • Ο ασθενής αλλάζει τη φαρμακευτική του αγωγή μετά από υπόδειξη κάποιου στο διαδίκτυο [undo]
  • Hair [undo]
  • Αποτελέσματα από τις υγρές καλλιέργειες. [undo]
  • Still Confuse [undo]
  • Η εκπαιδευτικός μοιράζει τους ρόλους των ηθοποιών [undo]
  • new node [undo]
  • 1cm to 10m [undo]
  • YES [undo]
  • Taq polimerază [undo]
  • Answer 1 [undo]
  • Aluminum hydroxide, magnesium carbonate, sodium alginate [undo]
  • Methimazole, propranolol, hydrocortisone, iodine solution [undo]
  • He ignores his mother. [undo]
  • Temporarily stop taking metformin [undo]
  • Results [undo]
  • LABS [undo]
  • Delay wound assessment until an in-person visit [undo]
  • Opțiunea 3: Pentru a afla despre echipamentul individual de protecție (EIP) și conduita în laborator [undo]
  • Απάντηση 1: Το υποτονικό είναι 0,9% NaCl, το υπερτονικό είναι απιονισμένο νερό, το ισοτονικό είναι 6% NaCl. [undo]
  • Start [undo]
  • Αποτελέσματα καρυότυπου [undo]
  • Propylthiouracil, propranolol, hydrocortisone [undo]
  • Επιδείνωση [undo]
  • Afterload [undo]
  • i can not guarantee, you do need to have more patience, let’s wrap up the consultation. [undo]
  • Contractility [undo]
  • Isosorbite mononitrate [undo]
  • Propylthiouracil, propranolol [undo]
  • De la 50nm până la 1mm [undo]
  • De la 5nm până la 100μm [undo]
  • It is advisable to start aspirin rather than warfarin [undo]
  • Continue taking metformin as prescribed [undo]
  • Propranolol, hydrocortisone [undo]
  • Option 3 [undo]
  • LB [undo]
  • Σωστά! [undo]
  • Warfarin may be commenced but LMWH is also needed initially [undo]
  • Preload [undo]
  • Digestia cu endonucleaze de restricție: Condiții optime [undo]
  • Answer 2 [undo]
  • The NCCT scan [undo]
  • Συζητάτε με τον ασθενή τα νέα δεδομένα [undo]
  • She will wear a hat. [undo]
  • Opțiunea 1 [undo]
  • Καλείτε την ειδική ιατρό [undo]
  • Hydrochlorothizide (thiazide diuretic) [undo]
  • Makes an appointment in the pain clinic [undo]
  • Επέλεξες να γίνει το μπαζάρ Κυριακή απόγευμα στις 6. [undo]
  • Lansoprazole, bismuth subsalicytate, metronidazole, and tetracycline [undo]
  • Decreased levels of HDL [undo]
  • Not satisfied [undo]
  • Increased secretion of insulin from the pancreas [undo]
  • 1cm έως 10m [undo]
  • Delay wound assessment until an in-person visit [undo]
  • Τηλεφώνησες στους φίλους σου και δέχτηκαν με χαρά να βοηθήσουν. [undo]
  • Afterload [undo]
  • Patient's daily activities, mobility, pain level [undo]
  • It is absolutely inadvisable to commence warfarin [undo]
  • Treatment [undo]
  • A, B, E [undo]
  • Επίσκεψη για επανέλεγχο στους τρεις μήνες [undo]
  • Tries to reduce her alcohol consumption [undo]
  • Bisoprolol [undo]
  • Keep on taking the anti-anxiety medications [undo]
  • Social History [undo]
  • Starts working out with a professional trainer [undo]
  • His nearest neighbour [undo]
  • new node [undo]
  • Ramipril (ACE inhibitor) [undo]
  • Warfarin may be commenced as an alternative to apixaban [undo]
  • Προτείνεις να επισκεφτείς όλα τα σπίτια της περιοχής. [undo]
  • Bivalirudin (direct thrombin inhibitor) [undo]
  • If you use antacids, it is better to combine them with alginates [undo]
  • new node [undo]
  • new node [undo]
  • Esomeprazole, famotidine, amoxicillin [undo]
  • MAC [undo]
  • High Molecular Weight Heparin [undo]
  • Bedside Ultrasound Examination [undo]
  • Karyotype Results [undo]
  • Φλεγμονές στα πόδια διαβητικών [undo]
  • Your detail explanation [undo]
  • Επιλογή 2 [undo]
  • Spironolactone (aldosterone/mineralocorticoid receptor antagonist) [undo]
  • Description 3 [undo]
  • Ignore the emotional expression. [undo]
  • You order some lab tests [undo]
  • History of Ischemic Stroke [undo]
  • Creșterea temperaturii și a pH-ului [undo]
  • Bisoprolol (beta blocker) [undo]
  • 50nm έως 1mm [undo]
  • Allow the woman with the umbrella to decide how she can best help [undo]
  • 5nm έως 100μm [undo]
  • Spironolactone (aldosterone/mineralocorticoid receptor antagonist) [undo]
  • A microscope that uses a fluorescence source to magnify objects [undo]
  • He shouts at his mother. [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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