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Chapter 2: Cardiovascular
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Management of atrial fibrillation
Drugs that prolong the QT interval
Anticoagulation prescribing guidance
Management of suspected deep vein thrombosis (DVT) and pulmonary embolism (PE)
Secondary prevention of stroke / TIA in primary care
Management of angina
Chronic heart failure guidance
Management of hypertension
Management of blood lipids
2.1 Positive inotropic drugs
2.2 Diuretics
2.3 Anti-arrhythmic drugs
2.4 Beta-adrenoceptor blocking drugs
2.5 Hypertension and heart failure
2.6 Nitrates, calcium-channel blockers, and other antianginal drugs
2.7 Sympathomimetics
2.8 Anticoagulants and protamine
2.9 Antiplatelet drugs
2.10 Stable angina, acute coronary syndromes, and fibrinolysis
2.11 Antifibrinolytic drugs and haemostatics
2.12 Lipid regulating drugs
2.13 Local sclerosants
2.14 Miscellaneous cardiovascular preparations
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2.2.5 Osmotic diuretics
First Line
Second Line
Specialist
Hospital Only
Intravenous osmotic diuretics are used mostly for cerebral oedema. They expand blood volume acutely so they should be avoided in heart failure.
Mannitol
- Injection 10%
- Injection 20%
Caution
- Mannitol should be stored at 20-30oC to prevent crystallisation that occurs at lower temperatures. The pack should be examined before use.
