Question

A 52-year-old female with a history of hypertension and type 2 diabetes on lisinopril and metformin presents with increasing confusion, fever, and memory loss. What is the most appropriate medication intervention?

A. Acetaminophen for fever
B. Adjust lisinopril dosage
C. Adjust metformin dosage
D. Initiate antipsychotic medication

Answer 1

The most appropriate medication intervention would be to adjust the metformin dosage.

Step-by-step explanation:

The most appropriate medication intervention for this patient would be to adjust the metformin dosage. The patient's symptoms of increasing confusion, fever, and memory loss may be indicative of metformin-associated lactic acidosis, a rare but serious side effect of metformin. The dosage of metformin needs to be adjusted or discontinued in such cases.