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
  • Nurse's Initial Report [undo]
  • Sacubitril-valsartan (ARNI) [undo]
  • Restriction Endonuclease Digestion of DNA: Selecting the Right Enzyme [undo]
  • Furosemide (loop diuretic) [undo]
  • Option 2: Only B is correct [undo]
  • CULTIVO Y CRECIMIENTO MICROBIANO [undo]
  • BEGIN SCENARIO [undo]
  • Analgetics [undo]
  • Root Node [undo]
  • Ζητώ καρυότυπο [undo]
  • Ξεκινήστε βυθίζοντας την πιπέτα μέσα στο υγρό που σκοπεύετε να αναρροφήσετε [undo]
  • Permanently stop taking metformin [undo]
  • rewrerwe [undo]
  • Χαρακτηριστικά [undo]
  • Examination [undo]
  • Glyceryl trinitrate (organic nitrate) [undo]
  • Presentation [undo]
  • Video Consultation [undo]
  • ELECTRON MICROSCOPY [undo]
  • Επιλογή 3 [undo]
  • Ask local cadre to help [undo]
  • Definition 1 [undo]
  • Επιλογή 2 [undo]
  • Warfarin may be commenced as an alternative to apixaban [undo]
  • Η ποιότητα ζωής του ασθενούς χειροτερεύει [undo]
  • Ramipril (ACE inhibitor) [undo]
  • Decreased production of glucose from the liver [undo]
  • Start the consultation without verification [undo]
  • Definition 2 [undo]
  • Omalizumab (IgE antibody)/Salbutamol (SABA) [undo]
  • Laboratory Safety [undo]
  • Salbutamol (SABA) [undo]
  • Continue taking metformin as prescribed [undo]
  • MICROSCOPIA ELECTRONICĂ [undo]
  • Decreased levels of HDL [undo]
  • Insulin [undo]
  • Preparation of liquid cultures [undo]
  • Γονότυπος [undo]
  • Αλληλόμορφα [undo]
  • Option 1: A and C are correct [undo]
  • Food laboratory [undo]
  • Continue the consultation with what it is [undo]
  • Decreased entry of glucose into muscle cells [undo]
  • Continue to consider the movement of water [undo]
  • Temporarily stop taking metformin [undo]

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

reset

OpenLabyrinth
OpenLabyrinth is an open source educational pathway system

Review your pathway

  • Verify patient identity and obtain e-consent before starting.
  • Nurse's Initial Report
  • Sacubitril-valsartan (ARNI)
  • Restriction Endonuclease Digestion of DNA: Selecting the Right Enzyme
  • Furosemide (loop diuretic)
  • Option 2: Only B is correct
  • CULTIVO Y CRECIMIENTO MICROBIANO
  • BEGIN SCENARIO
  • Analgetics
  • Root Node
  • Ζητώ καρυότυπο
  • Ξεκινήστε βυθίζοντας την πιπέτα μέσα στο υγρό που σκοπεύετε να αναρροφήσετε
  • Permanently stop taking metformin
  • rewrerwe
  • Χαρακτηριστικά
  • Examination
  • Glyceryl trinitrate (organic nitrate)
  • Presentation
  • Video Consultation
  • ELECTRON MICROSCOPY
  • Επιλογή 3
  • Ask local cadre to help
  • Definition 1
  • Επιλογή 2
  • Warfarin may be commenced as an alternative to apixaban
  • Η ποιότητα ζωής του ασθενούς χειροτερεύει
  • Ramipril (ACE inhibitor)
  • Decreased production of glucose from the liver
  • Start the consultation without verification
  • Definition 2
  • Omalizumab (IgE antibody)/Salbutamol (SABA)
  • Laboratory Safety
  • Salbutamol (SABA)
  • Continue taking metformin as prescribed
  • MICROSCOPIA ELECTRONICĂ
  • Decreased levels of HDL
  • Insulin
  • Preparation of liquid cultures
  • Γονότυπος
  • Αλληλόμορφα
  • Option 1: A and C are correct
  • Food laboratory
  • Continue the consultation with what it is
  • Decreased entry of glucose into muscle cells
  • Continue to consider the movement of water
  • Temporarily stop taking metformin

Reminder

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FINISH

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