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Warning-sign checks

Swan-ganz - right heart catheterization: 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

    Seek emergency help for severe chest pain, major difficulty breathing, fainting, coughing up blood, stroke-like symptoms, or bleeding that does not stop after firm pressure.

    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

    Contact your healthcare team promptly for:

    • Increasing redness, warmth, swelling, pain, or drainage at the site
    • Fever or chills
    • A growing lump or repeated bleeding under the dressing
    • New palpitations, dizziness, or worsening shortness of breath
    • A cold, pale, numb, or swollen arm or leg near the access site

    If you are already in hospital, tell your nurse or clinical team immediately.

    And for anyone, someone who:

    • is getting rapidly more short of breath, or has gained several pounds in a few days with swelling
  3. 3

    Does any of this apply?

    Book an appointment

    Mild bruising, slight tenderness, and a small spot of dried blood under the dressing can be part of routine recovery.

    Follow the instructions you received for dressing care and planned follow-up.

Every sign above is quoted from the sofidex article on Swan-ganz - right heart catheterization. If you are not sure, err upward — it is always reasonable to be checked.