Nursing care for Metformin-Associated Lactic Acidosis for patients with Acute Kidney Injury: 2 case study

Abstract

Objectives : Nursing for Metformin Associated Lactic Acidosis with Acute Kidney Injury :case study 2 case.

Methods : This is a study comparing the nursing care of two patients with metformin-induced lactic acidosis. The study utilizes tools including data collection forms from medical records, patient and family interviews, observation, comparative data analysis pathophysiology symptoms and signs, treatment, nursing problems, and diagnoses, as well as discharge planning.

Results: Case Study: Comparing Case 1, a 60-year-old Thai female patient with fever and diarrhea four times a day, who received treatment at acommunity hospital. It was found that she had elevated blood sugar levels and a rising serum creatinine (CR) level. She was diagnosed with Metformin Associated Lactic Acidosis with Acute Kidney Injury (AKI). Case 2, a 73-year-old Thai female patient with significant symptoms of vomiting once and experiencing shortness of breath for an hour, received treatment at a community hospital. It was observed that her serum creatinine (CR) level was rising. She was diagnosed with Metformin Associated Lactic Acidosis with Septic Shock, Urinary Tract Infection, and Hypothyroidism. with Acute Kidney Injury From this study, it was found that providing prompt and accurate critical condition nursing care, along with pre-discharge preparedness using the DSME format, led to appropriate self-care for the patients, ensuring their safety from complications.

Conclusion: We should develop guidelines for Metformin-Associated Lactic Acidosis in patients with diabetes, as well as discharge planning using the DSME format in collaboration with interdisciplinary teams, in order to prevent such complications.