Final answer:
To evaluate the medical effectiveness of Metformin, various assessments can be done. These include monitoring serum electrolytes, glucose levels, and hormone levels, as well as checking for pain reduction. Assessing patient alertness may not be a reliable measure of effectiveness.
Step-by-step explanation:
To evaluate the medical effectiveness of Metformin, several assessments can be done:
a. Assess serum electrolytes, ketones, glucose, blood pH, lactate, and pyruvate levels: These tests help monitor the metabolic state of the patient and check for any abnormalities.
b. Check for resolution of hypothyroidism and normalization of hormone levels: Metformin can affect thyroid function, so monitoring hormone levels is important.
c. Check patient for pain reduction: Metformin is not typically used as a pain reliever, so evaluating pain reduction may not be directly related to its medical effectiveness.
d. Assess patient alertness: Metformin is not known to directly affect alertness, so this may not be a reliable measure of its effectiveness.