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Hospitalize patients initiated or re-initiated on sotalol for at least 3 days or until steady-state drug levels are achieved.in a facility that can provide cardiac resuscitation and continuous electrocardiographic monitoring. Initiate oral sotalol therapy in the presence of personnel trained in the management of serious arrhythmias. Perform a baseline ECG to determine the QT interval and betapace online shoes and normalize serum betapace online shoes and magnesium levels before initiating therapy. Measure serum creatinine and calculate an estimated creatinine clearance in order to establish the appropriate dosing interval (insert cross ref to renal dosing). Continually monitor patients with each uptitration in dose.until they reach steady state. Determine QTc 2 to 4 hours after every dose.
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