216 results
Metformin 
Current Renal Dose Adjustments due to Risk of Lactic Acidosis 
> 60 No adjustment 
45-60
Metformin Current ... Risk of Lactic Acidosis ... already taking metformin ... /ambcarerx #Metformin
Lactic Acidosis Classification - Type A vs Type B
Type A Lactic Acidosis: Sepsis, Ischemic bowel, Hemorrhagic
Lactic Acidosis ... Type A Lactic Acidosis ... Type B Lactic Acidosis ... Renal failure, Metformin ... Linezolid #Lactic #Acidosis
Anion Gap Metabolic Acidosis
 • Diabetic Ketoacidosis ± Hyperglycemia ± Hyperosmolar
 • Alcoholic Ketoacidosis ± Hyperglycemia
Gap Metabolic Acidosis ... Type B lactic acidosis ... Drugs ( Albuterol, Metformin ... Cirrhosis • Uremic Acidosis ... AnionGap #Metabolic #Acidosis
Metformin Associated Lactic Acidosis (MALA) 

Pathophysiology of MALA
 - Metformin interferes with the activity of the
Metformin Associated ... Lactic Acidosis ... Pathophysiology of MALA - Metformin ... symptoms of metabolic acidosis ... Kat_Watson #MALA #Metformin
Kussmaul Breathing in Lactic Acidosis
Acute non-cardiopulmonary dyspnoea. 70 ys, DM, vomiting and URQ abdominal pain since
Breathing in Lactic Acidosis ... severe lactic acidosis ... regularly taken metformin ... for metabolic acidosis
Lactic Acidosis - Classification and Differential Diagnosis
Type A Lactic Acidosis: Inadequate Oxygen Delivery
 • Anaerobic muscular
Lactic Acidosis ... Type A Lactic Acidosis ... Type B Lactic Acidosis ... Lactate-based dialysate, Metformin ... 0885066620982585 #Lactic #Acidosis
Metformin: Biguanide
Metformin is the first-line medication for treatment of type 2 diabetes. It is very effective
Metformin: Biguanide ... Metformin is the ... function since lactic acidosis ... /ambcarerx #Metformin
Type B Lactic Acidosis
Elevated lactic acid when no systemic hypoperfusion is apparent
Causes:
 • Drugs (metformin, linezolid,
Type B Lactic Acidosis ... Causes: • Drugs (metformin ... TypeB #Lactic #Acidosis
Metformin Pharmacology Summary
Mechanisms of Action:
 • Suppresses gluconeogenesis by the liver
 • Increases insulin-mediated glucose utilization
Metformin Pharmacology ... causing lactic acidosis ... EricsMedicalLectures/ #Metformin
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Lactic Acidosis ... Acid, Biguanides (Metformin ... Alcoholic lactic acidosis ... Presents as AG acidosis ... nickmmark #Lactic #Acidosis