A client admitted to the hospital with chest pain and a history of type 2 diabetes...
A client admitted to the hospital with chest pain and a history of type 2 diabetes mellitus is scheduled for cardiac catheterization. Which medication would need to be withheld for 24 hours before the procedure and for 48 hours after the procedure?
1. Regular insulin
2. Glipizide (Glucotrol)
3. Repaglinide (Prandin)
4. Metformin (Glucophage)
what is the rationale for the answer chosen?
Homework Answers
(D)
metformin is the antidiabetic drug, which withholds 24 hours prior and 48 hours after the cardiac catheterization procedure. during the procedure, the dye is injecting. rarely, it may result in kidney failure. however, if we administer metformin during the day of the procedure, it may cause lactic acidosis, since the toxic accumulation of metformin in the kidney. to avoid this complication metformin is withholding before and after 48 hours of the procedure.
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