Unique Plan Description: Sotalol Oral Dosing Initiation
Plan Selection Display: Sotalol Oral Dosing Initiation
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2021-12-14 15:26:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-21 16:01:46
Available at all facilities: Yes

Sotalol Oral Dosing Initiation
Vital Signs
	Vital Signs
		T;N, Q15MIN, 4, Dose(s)/Time(s)
			Comment: or until stable then per nursing protocol
Laboratory
	CBC with Diff
		Stat, spec type = Blood
	Comprehensive Metabolic Panel
		Stat, spec type = Blood
	Magnesium Level
		Stat, spec type = Blood
	INR - MH/WH/JE
		Stat, spec type = Blood
Diagnostic Tests
	ECG
		T;N, Stat, notify MD if QT > 500ms
Medications
	sotalol
		80 mg, Tab, By Mouth, BID
			Comment: Order ECG 2 hours post medication admin
		80 mg, Tab, By Mouth, Q24H
			Comment: Order ECG 2 hours post medication admin
		120 mg, Tab, By Mouth, BID
			Comment: Order ECG 2 hours post medication admin
		120 mg, Tab, By Mouth, Q24H
			Comment: Order ECG 2 hours post medication admin
		160 mg, Tab, By Mouth, BID
			Comment: Order ECG 2 hours post medication admin
		160 mg, Tab, By Mouth, Q24H
			Comment: Order ECG 2 hours post medication admin
Patient Care
	Notify MD
		T;N, if QT greater than 500ms
	Order ECG
		T;N, 2 hours post medication administration
	Notify MD
		T;N, if patient is taking verapamil, ketoconazole, macrolide, Bactrim, Tagamet, antibiotics, protease inhibitors or SSRIs
	Notify MD of Lab results
		T;N, of abnormal lab results prior to initiating Sotalol
	Cardiac Telemetry Monitoring
		T;N, Telemetry Indications: ACS/Arrhythmia/QTc
			Comment: Measure QT prior to each dose of Tikosyn and 2 hours after each dose. Notify MD if QT exceeds 500ms
Consults/Follow-up
	Pharmacy Consult
		Sotalol prescribed; follow policy to evaluate, drug interactions, appropriate dosing, and provide education

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