Thrombolysis

WHAT YOU SHOULD KNOW:

Thrombolysis (Aftercare Instructions) Care Guide

  • Thrombolysis is a procedure where medicine is used to dissolve a thrombus (blood clot). A blood clot is a clump of blood that forms in your blood vessel. Blood clots more commonly form in your heart and the deep veins of your arms and legs. A blood clot that forms in the deep veins of your arms or legs is called deep vein thrombosis (DVT). A blood clot can decrease, or stop the flow of blood in the vessel it forms in. A blood clot can also break loose and travel (called an embolus) to other areas of your body. The blood clot can reach your lungs or brain, and decrease the blood supply to that organ. A blood clot can cause life-threatening conditions, such as a heart attack, pulmonary embolism, or stroke.

  • Conditions, such as blood disorders, obesity, or a family history of blood clots can increase your risk for a blood clot. Being pregnant or taking hormone medicines, such as estrogen, may also increase your risk for a blood clot. Other risk factors are increasing age, smoking, long periods of time without activity, and major surgery or trauma. Thrombolytic medicine can be given through your vein, artery, or both. If you had a stroke, treatment should begin within three hours of the start of your symptoms. For some conditions, treatment should be started within 6 to 24 hours of your symptom onset. For DVTs, your caregiver will give you instruction's about when your treatment should begin. Treatment with thrombolytic medicine can dissolve the blood clot, and help your blood flow through your vessels. Treatment also can help prevent serious medical conditions, and can save your life.

INSTRUCTIONS:

Medicines:

  • Keep a current list of your medicines: Include the amounts, and when, how, and why you take them. Take the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency. Throw away old medicine lists. Use vitamins, herbs, or food supplements only as directed.

  • Take your medicine as directed: Call your primary healthcare provider if you think your medicine is not working as expected. Tell him about any medicine allergies, and if you want to quit taking or change your medicine.

  • Antiplatelets , such as aspirin, help prevent blood clots. Take your antiplatelet medicine exactly as directed. These medicines make it more likely for you to bleed or bruise. If you are told to take aspirin, do not take acetaminophen or ibuprofen instead.

  • Blood thinners: This medicine helps prevent clots from forming in the blood. Clots can cause strokes, heart attacks, and death. Blood thinners make it more likely for you to bleed or bruise. Use an electric razor and soft toothbrush to help prevent bleeding.

Ask for information about where and when to go for follow-up visits:

For continuing care, treatments, or home services, ask for more information.

Blood clot and stroke prevention:

  • Compression stockings: Your caregiver may have you wear compression stockings after your thrombolytic treatment. These are tight elastic stockings that put pressure on your legs. The pressure is strongest in the toe and decreases as it goes toward your thigh. Wearing compression stockings helps push blood back up to your heart, and helps to prevent clots from forming. Ask your caregiver for more information about compression stockings.

  • Do not drink too much alcohol: Drinking too much alcohol, too often can increase your risk of having a stroke. Alcohol is found in beer, wine, whiskey, and other adult drinks. Men should not drink more than two alcohol drinks each day. Women should not drink more than one alcohol drink each day. Pregnant women should not drink at all. Talk to your caregiver about how much alcohol is safe to drink. If you drink more alcohol then you should, ask your caregiver for help in finding ways to stop.

  • Do not smoke: Smoking harms the heart, lungs, and the blood. Smoking can harden your blood vessels, and increase your risk for blood clots and stroke. You are also more likely to have a heart attack, lung disease, and cancer if you smoke. You will help yourself and those around you by not smoking. Ask your caregiver for more information about how to stop smoking if you are having trouble quitting.

  • Exercise: Exercising makes the heart stronger, lowers blood pressure, and helps keep you healthy. It is best to start exercising slowly and do more as you get stronger. Exercising for 30 minutes each day can help decrease your risk for blood clots and a stroke. Talk to your caregiver before you start exercising. Together you can plan the best exercise program for you.

  • Maintain a healthy weight: Talk to your caregiver about your ideal body weight. Weighing too much can cause serious health problems, and can increase your risk of blood clots. Ask your caregiver if you need help losing weight.

  • Move your legs: Move your legs as often as possible. Standing for long periods of time can cause the blood to pool in your legs. Pooling means your blood collects in your leg veins longer then it should before returning to your heart. Avoid sitting in the same position for long periods of time. Try to walk around a few minutes for every hour you are sitting down. A short walk will keep the blood moving in your legs.

  • Use your medicines exactly as ordered by your caregiver: Use all of your medicines given to control other health problems as directed by your caregiver. These conditions include diabetes, high blood pressure, and high blood cholesterol (fat).

CONTACT A CAREGIVER IF:

  • You have a fever.

  • You have a new skin rash and itching.

  • You have new weakness, or you feel faint.

  • You have new swelling around your eyes.

  • You have new or worsening pain or swelling in one or both of your arms or legs.

  • You have chest pain or trouble breathing that is getting worse over time.

SEEK CARE IMMEDIATELY IF:

  • You cough up or vomit (throw up) blood.

  • You have black tarry bowel movements.

  • You have purple spots or blister like areas on your skin.

  • You have swelling of your hands, face, lips, or throat.

  • You suddenly feel lightheaded and have trouble breathing.

  • You have new and sudden chest pain. You may have more pain when you take deep breaths or cough. You may cough up blood.

  • Your arm or leg feels warm, tender, and painful. It may look swollen and red.

  • You have any of the following signs of a heart attack:

    • Squeezing, pressure, or pain in your chest that lasts longer than 5 minutes or returns

    • Discomfort or pain in your back, neck, jaw, stomach, or arm

    • Trouble breathing

    • Nausea or vomiting

    • Lightheadedness or a sudden cold sweat, especially with chest pain or trouble breathing

  • You have any of the following signs of a stroke:

    • Numbness or drooping on one side of your face

    • Weakness in an arm or leg

    • Confusion or difficulty speaking

    • Dizziness, a severe headache, or vision loss

© 2013 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Hide
(web1)