PHARMACIST DRIVEN OUTPATIENT SOTALOL LOADING PROTOCOL

BackgroundDose dependent QT prolongation with class III antiarrhythmic initiation mandates close monitoring, often in an inpatient setting. In a majority of patients sotalol loading is uncomplicated and requires no dose adjustment. Dose adjustments when required are most secondary to bradycardia or prolongation. We describe successful outpatient pathway completed using the Kardia 6L ECG pharmacy driven clinic.NarrativePatients scheduled for person visit on Monday Tuesday sotalol. A prescription called into prior appointment. The patient will bring drug them visit, which allows 1 be taken clinic. education provided during ensuring able upload tracing MyChart pharmacist viewing. instructed send tracings 2-hours following each 6 doses. reviews tolerance instructs dosing. Typical starting 120mg BID maximum efficacy, unless has significant renal dysfunction (CrCl < 50 mL/min). Other AV nodal blocker medications either adjusted discontinued decrease risk bradycardia. Once process complete, follow up return device obtain formal 12 lead compare QT/QTc.ConclusionsOutpatient clinic safe alternative loading. NarrativePatients QT/QTc. Patients ConclusionsOutpatient Outpatient