56 results
Metformin Associated Lactic Acidosis (MALA) 

Pathophysiology of MALA
 - Metformin interferes with the activity of the
Metformin Associated ... Pathophysiology of MALA - Metformin ... recycles peripheral lactate ... production  increased lactate ... Kat_Watson #MALA #Metformin
Lactic Acidosis Classification - Type A vs Type B
Type A Lactic Acidosis: Sepsis, Ischemic bowel, Hemorrhagic
Short bowel (D-lactate ... Renal failure, Metformin
Lactated Ringer's Medication Compatibility
#Pharmacology #LactatedRinger #LR #RingersLactate #IVInfusion #Medication #Compatibility #Table #Nursing
Lactated Ringer's ... Compatibility #Table
Diabetes Medications Summary Table
Insulin
Lifestyle modifications
Metformin
Sulfonylureas
GLP-1 receptor agonists - ↓ major adverse CV events
TZDs
DPP-4 inhibitors
SGLT2 inhibitors -
Medications Summary Table ... modifications Metformin ... #medications #table
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Beta-Agonists, ↑ work ... Acid, Biguanides (Metformin ... with negative lactate ... sugars into D-Lactate ... #criticalcare #lactate
Choose Your Fluid: Crystalloid Comparison Chart:
Plasma vs Plasma-Lyte, Saline (.45%, 0.9%, 2%, 3%), D5W, Ringer's Lactate,
D5W, Ringer's Lactate ... contents #comparison #table
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
Causes of Lactate ... categories Lactate ... The use of lactate ... With ↑ Lactate ... and Toxins: - Metformin
Lactic Acidosis - Classification and Differential Diagnosis
Type A Lactic Acidosis: Inadequate Oxygen Delivery
 • Anaerobic muscular
Fructose, Isoniazid, Lactate-based ... dialysate, Metformin ... #TypeA #TypeB #lactate
Hypocalcemia Workup - Differential Diagnosis Algorithm
 • Low Magnesium, High Magnesium - Functional Hypoparathyroidism
 • High
Hypocalcemia Workup ... Calcium Chelators, Lactate ... #Hypocalcemia #Workup
Crystalloid pH, Contents and Costs Compared
Plasma	pH 7.4
Normal Saline	pH 5.5*	
Ringer’s Lactate pH 6.5	
Plasmalyte A pH 6.5	
Coca-cola pH
5.5* Ringer’s Lactate ... Contents #Comparison #Table