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
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  • Bisoprolol (beta blocker) [undo]
  • Celulele HeLa sunt ușor de cultivat și proliferează foarte ușor [undo]
  • Increased entry of fatty acids into adipocytes [undo]
  • Epilogue [undo]
  • Afterload [undo]
  • Simvastatin [undo]
  • B, C, F [undo]
  • Costi are 25 de ani și stă împreună cu tatăl și mama sa în minunata lor casă. [undo]
  • Εργαστηριακοί Ζυγοί II [undo]
  • Εισαγωγή [undo]
  • Propylthiouracil, propranolol [undo]
  • Propylthiouracil, propranolol, hydrocortisone [undo]
  • Κορτιζόνη [undo]
  • Σκέφτεται ότι η καινούρια δασκάλα δεν θα είναι καλή σαν την κυρία Mary. [undo]
  • Decreased production of glucose from the liver [undo]
  • Αναστολείς ακετυλοχολινεστεράσης [undo]
  • Σταυρόλεξα [undo]
  • Delegate explanation to another profession [undo]
  • Δεν της μιλάει. [undo]
  • Bedside Ultrasound Examination [undo]
  • A, B, C [undo]
  • Παρακολούθηση [undo]
  • Lispro [undo]
  • A, B, E [undo]
  • Gjør og sier ingenting mer. Det er ikke mitt problem måten at hun oppfører seg [undo]
  • Δεν έχω πολύ χρόνο. Βάζω τα αρχεία μου σε ένα φλασάκι. [undo]
  • Epilogue [undo]
  • Επόμενη επίσκεψη [undo]
  • Θεραπεία [undo]
  • Temporarily stop taking metformin [undo]

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

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OpenLabyrinth
OpenLabyrinth is an open source educational pathway system

Review your pathway

  • new node
  • Bisoprolol (beta blocker)
  • Celulele HeLa sunt ușor de cultivat și proliferează foarte ușor
  • Increased entry of fatty acids into adipocytes
  • Epilogue
  • Afterload
  • Simvastatin
  • B, C, F
  • Costi are 25 de ani și stă împreună cu tatăl și mama sa în minunata lor casă.
  • Εργαστηριακοί Ζυγοί II
  • Εισαγωγή
  • Propylthiouracil, propranolol
  • Propylthiouracil, propranolol, hydrocortisone
  • Κορτιζόνη
  • Σκέφτεται ότι η καινούρια δασκάλα δεν θα είναι καλή σαν την κυρία Mary.
  • Decreased production of glucose from the liver
  • Αναστολείς ακετυλοχολινεστεράσης
  • Σταυρόλεξα
  • Delegate explanation to another profession
  • Δεν της μιλάει.
  • Bedside Ultrasound Examination
  • A, B, C
  • Παρακολούθηση
  • Lispro
  • A, B, E
  • Gjør og sier ingenting mer. Det er ikke mitt problem måten at hun oppfører seg
  • Δεν έχω πολύ χρόνο. Βάζω τα αρχεία μου σε ένα φλασάκι.
  • Epilogue
  • Επόμενη επίσκεψη
  • Θεραπεία
  • Temporarily stop taking metformin

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