AMwilldoit

Thank you so much for the reply and reference. Really appreciate it!

This question is specifically about the relationship between Metformin and contrast dyes. We were taught that Metformin should be withheld on the same day and delayed till 48 hours after a diagnostic test involving contrast dye. One of the potential serious complications listed is lactic acidosis if not withheld. Related literature had conflicting information regarding the condition of the renal system. Some say that risk for lactic acidosis in this situation will be present only for those with compromised kidney function. Others say that there is a risk regardless of kidney function. Just wanted to know if this particular dose (500 mg) combined with contrast dye can cause lactic acidosis in a patient with normal kidney function, based on your experiences. Patient does not currently have this diagnosis. Thanks!

Hi! Just wanted to ask if a 500 mg tablet of Metformin given to a pt with normal renal function on a day that he got a CT scan with contrast is enough to cause lactic acidosis. Thanks!

Hi all. This is my first post although I have been a member for quite a while. I just needed some insight, so no insulting or insensitive posts please. I am in my second semester in an ADN program in a Texas school without much diversity in its student population. I was an immigrant, but I speak pretty good English (I am a citizen now if that even matters). I am not a very outgoing, outspoken person, partially related to the fact that I am not very good with small talk and I mostly prefer to keep to myself when I dont know what to say. Also, I was raised to not "butt in" if not spoken to and that joining into other people's conversations is rude and "gossip-like". I was just wondering why, whenever I do engage in conversations with others, they make me feel like I "am not there." Or if I am in a group, it's like I dont even exist, even through I am trying to converse with the others. They are not directly insulting or anything like that, but it is the general aura that they exude around me. I am not speaking about all of my classmates, but a good majority of them tend to discount the things I say, or pretend I am not there even if I am right there, or change the topic and make it about them, or during discussions they do not consider my opinions, but in a moment restate what I mentioned previously and make it appear like it was their own idea (sorry running sentence here...). I am trying to be patient and understanding; I am trying to be civil and friendlier. I do not intend to make any best friends. It is just difficult being in an environment where you feel invincible and are being undermined. It also boggles my mind how you can be talking with people one moment, then pass by each other in the hall like you don't know each other... Any insights? Thanks.