Tania Ahuja
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taniaahuja.bsky.social
Tania Ahuja
@taniaahuja.bsky.social
CICU/Cardiology/Antithrombotic PharmD📍@nyulangone Assistant Professor📍@nyugrossman
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https://med.nyu.edu/faculty/tania-ahuja
150mg IV bolus, then 1mg/min for 6 hr, then 0.5mg/min for 18hr & transition to PO with bid or tid at end of this.
If awaiting ablation, or rates still > 110, may leave on IV longer at the 0.5.
For VT, or atrial in CICU we will leave at 1mg/min for longer, usually drop to 0.5 on day 2 or 3.
January 16, 2025 at 3:20 AM
Hmm we rarely overlap, but if critically ill, in 💔 shock we use IV for > 1 day & likely saturate distribution. Plasma levels seem to not correlate with efficacy or toxicity, given distribution. We begin PO w/load (400 bid or tid) soon as IV completes to get to 5-10gm depending on arrhythmia.
January 16, 2025 at 2:41 AM