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Warning-sign checks

Congenital heart defect - corrective surgery: 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

    Call emergency services for severe trouble breathing, fainting, a seizure, sudden weakness, blue or grey lips or skin, severe chest pain, uncontrolled bleeding, or difficulty waking.

    Follow the discharge team’s emergency plan if it differs.

    And for anyone, someone who:

    • has chest pain, tightness or pressure lasting more than a few minutes
    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • 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

    Seek prompt medical advice for:

    • Fever at or above the threshold given by your facility
    • Increasing incision redness, swelling, warmth, drainage, or opening
    • New or worsening shortness of breath
    • Repeated vomiting or inability to keep fluids down
    • A new fast, slow, or irregular heartbeat
    • Increasing swelling, unusual tiredness, or reduced urination

    And for anyone, someone who:

    • is getting rapidly more short of breath, or has gained several pounds in a few days with swelling
    • has a wound that is hot, spreading red, or leaking pus
  3. 3

    Does any of this apply?

    Book an appointment

    Contact the surgical or congenital heart team if pain is not improving, appetite remains poor, the incision becomes more tender, or you have concerns about medicines, activity, work, school, or follow-up.

Every sign above is quoted from the sofidex article on Congenital heart defect - corrective surgery. If you are not sure, err upward — it is always reasonable to be checked.