Per policy, these medications require cardiac and/or special
monitoring. (KEY: "Y" = may be given as described on
chart. "N" = may NOT be given except in Rapid Response/Code Blue situations or as
otherwise described in Exceptions section of Policy.
generic (Brand) / Notes
dofetilide (Tikosyn) Oral for continuation of home medication
Y
Y
Y
Y
N
Y
N/A
N/A
dofetilide (Tikosyn) Oral for initiation and/or titration for atrial fib / flutter ONLY
(KEY: "Y" = may be given as described on chart. "N" = may NOT be given except in Rapid Response/Code Blue situations or as otherwise described in Exceptions section of Policy.
Oral for continuation of home medication
Oral for initiation and/or titration for atrial fib / flutter ONLY