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
Is any of this happening now?
Call 911
Call emergency services immediately for difficulty breathing, severe swelling of the lips, tongue, or throat, collapse, a seizure, or inability to wake the person.
If someone is choking and cannot breathe, speak, or cough effectively, begin age-appropriate choking first aid and call emergency services.
Do not put your fingers into the mouth unless you can clearly see and safely remove the object.
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
Is any of this happening?
Be seen today
Contact a poison centre promptly if someone has swallowed poinsettia material, especially if the amount is uncertain, the person is very young, or symptoms have started.
In the United States, Poison Help is available at 1-800-222-1222.
Elsewhere, contact your local poison information service.
Seek same-day medical advice if there is:
Repeated vomiting or an inability to keep fluids down
Ongoing stomach pain or diarrhoea
A spreading or painful skin reaction
Eye pain, light sensitivity, blurred vision, or redness after rinsing
Mouth or throat irritation that is not improving
3
Does any of this apply?
Book an appointment
Routine follow-up is not usually needed when a small exposure causes no symptoms or when mild symptoms completely resolve.
Every sign above is quoted from the sofidex article on Poinsettia plant exposure. If you are not sure, err upward — it is always reasonable to be checked.