Pharmacist consult for sodium monitoring is required with therapy initiation or dosage changes. Pharmacist will follow approved tolvaptan sodium monitoring process -- baseline serum sodium and 8-hour post dose level after the first dose or after a dose increase. Subsequent levels may be checked as deemed necessary by pharmacist or prescriber, with a daily sodium level ordered.
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Pharmacist consult for sodium monitoring is required with therapy initiation or dosage changes. Pharmacist will follow approved tolvaptan sodium monitoring process -- baseline serum sodium and 8-hour post dose level after the first dose or after a dose increase. Subsequent levels may be checked as deemed necessary by pharmacist or prescriber, with a daily sodium level ordered.
SAMSCA Pharmacist Consult Flowchart
Reviewed: 22 Aug 2017 (Ure-Na)