If the patient develops any complication of thrombolysis
- Stop the Infusion
- Seek urgent medical assistance
- Increase frequency of monitoring
Here are some links to protocols which have been suggested for managing complications of thrombolysis. However, you may have local protocols for managing complications – you should familiarise yourself with these:
- Management of intracranial bleeding [.pdf, 17 KB]
- Management of extracranial bleeding [.pdf, 16 KB]
- Management of anaphylactoid reactions – including angio-oedema [.pdf, 19 KB]
Protocols for managing complications
Anaphylactoid reactions:
- Nebulised salbutamol
- Intravenous hydrocortisone
- Subcutaneous adrenaline
- Airway management
Intracranial bleeding:
- Urgent CT brain
- Advice from neurosurgeon
Extracranial bleeding:
- Fast intravenous infusion
- Blood transfusion
- Local compression on bleeding point
