Question

A patient who has type 2 diabetes is being prepared for an elective coronary angiogram.

Which information would the nurse anticipate might lead to rescheduling the test?
a. The patient's most recent A1C was 6.5%.
b. The patient's blood glucose is 128 mg/dL.
c. The patient took the prescribed metformin today.
d. The patient took the prescribed captopril this morning.

Answer 1

The metformin taken by the patient is the information that could lead to rescheduling the coronary angiogram due to the risk of lactic acidosis in procedures involving contrast dyes.

Step-by-step explanation:

For a patient with type 2 diabetes being prepared for an elective coronary angiogram, the information that might lead to rescheduling the test is c. The patient took the prescribed metformin today. Metformin is a medication used to control high blood sugar in type 2 diabetes patients, but it is recommended to be discontinued before certain procedures requiring contrast dye because of the risk of lactic acidosis, especially in cases where the procedure can affect kidney function. Options a. and b. are within normal ranges and would not typically necessitate rescheduling. The medication in option d., captopril, is used for managing blood pressure and would not usually be a reason to postpone the test.