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Warning-sign checks

Thrombolytic therapy: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    After discharge, call emergency services for:

    • New stroke signs, such as facial drooping, arm weakness, or speech difficulty
    • Sudden severe headache, seizure, fainting, or unusual drowsiness
    • Chest pain, severe shortness of breath, or coughing up blood
    • Bleeding that is heavy or will not stop
    • Vomiting blood or passing black, bloody, or red stools
    • Rapidly increasing swelling or bleeding at a catheter site
    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    While you are in hospital, tell staff immediately about new pain, bleeding, weakness, numbness, confusion, breathing trouble, or swelling.

  3. 3

    Does any of this apply?

    Book an appointment

    For non-urgent concerns, contact your healthcare team during routine hours.

    These include persistent minor bruising, questions about activity or medicines, and uncertainty about follow-up appointments.

Every sign above is quoted from the sofidex article on Thrombolytic therapy. If you are not sure, err upward — it is always reasonable to be checked.