58.下列何者不會增加metformin引起lactic acidosis的風險?
(A)alcohol
(B)vitamin B12
(C)topiramate
(D) parenteral contrast media
答案:登入後查看
統計: A(118), B(4961), C(283), D(264), E(0) #2180262
統計: A(118), B(4961), C(283), D(264), E(0) #2180262
詳解 (共 10 筆)
#4126812
Lactic acidosis: [US Boxed Warning]
Risk factors for lactic acidosis include patients with renal impairment, concomitant use of certain drugs (eg, carbonic anhydrase inhibitors such as topiramate), ≥65 years of age, having a radiologic study with contrast, surgery and other procedures, hypoxic states (eg, acute heart failure), excessive alcohol intake, and hepatic impairment.
(B) Long-term metformin use is associated with vitamin B12 deficiency; monitor vitamin B12 serum concentrations periodically with long-term therapy.
(D) 補充:病患注射放射性顯影物質做檢查前後各2天+當天需停用Metformin。
48
2
#4761919
補充:注射顯影劑應該在48hr前停用metformin
28
2