Thrombolysis treatment information
About the treatment
The earlier the treatment is given, the better is the effect. Therefore, you have been received by several staff members, in order to take care of different things at the same time: We took blood samples, including blood glucose and cholesterol, the nurse helped you to change your clothes and measured blood pressure and blood oxygen, and the doctor examined you and noted down a short summary of your symptoms and former diseases.
Immediately afterwards, we performed a CT- or MRI-scan of the brain. The results of the scan showed that you would likely benefit from thrombolytic treatment.
During and after the treatment with thrombolysis, we monitor your blood pressure, heart rhythm and neurological symptoms. The most important complication after thrombolysis is cerebral haemorrhage (a bleeding in the brain), which occurs in 1% of all patients, typically during the first 24 hours. If you should develop symptoms that might indicate this complication, we will perform a new CT-scan immediately. Other complications of the treatment, like low blood pressure, swelling of the face and the mouth, or bleeding in other parts of the body, may occur. Usually, we can treat these complications easily, and they are therefore not serious or life threatening.
In the first hours after the treatment, some patients experience restlessness in the body, and an increased urge to pass water may occur. As your ability to swallow may be affected by the stroke, we will test your swallowing function before you are allowed to eat and to drink.
After a stroke, your walking ability may be affected as well, and the risk of bleeding would be high if you fell. Therefore, do not try to get up by yourself, but call a nurse if you want to get up during the first 24 hours.
Important note: Please tell us immediately in case you notice that your symptoms get worse!
Twenty-four hours after the treatment, a new CT-scan will be performed. Typically, we will start treatment with a blood thinner to prevent a new stroke. The doctor and the nurse will check on you again the day after this treatment, and the doctor will perform a neurological examination again. Afterwards, you will be informed about all test results. We rcommend that your family or loved ones participate in this conversation.
Please note that there are several doctors working on the stroke unit, so you may meet different physicians during your stay. But every doctor will be well informed about your history throug our daily staff meetings and our documentation system.
You will be examined by both an occupational therapist and a physiotherapist within the first 24 hours. If possible, training by the therapist will already start at the stroke unit.
The day after the treatment the doctor and nurse will follow up on the treatment, to know how you are and to make sure that all your questions are answered. The doctor will guide you in lifestyle matters that are recommended in order to avoid relapse, and inform you about blood pressure levels and control of blood cholesterol.
It is very important, that you tell how you feel, and how you have experienced til treatment.
When you are hospitalized with a stroke, you will be examined by both an occupational therapist and a physiotherapist within the first 24 hours. If you need rehabilitation, it starts at the emergency ward and is completed at home or at a rehabilitation ward in Region Midtjylland. We will give you more information, when necessary.
Effects of the medicine
Tissue Plasminogen Activator (Actilyse) is a treatment administered directly into a vein over a period of one hour.
Tissue Plasminogen Activator is currently the only acute medical treatment for patients with stroke. Tissue Plasminogen Activator dissolves blood clots and prevents blood from clotting.
Risks and side effects
A possible side effect of treatment is bleeding which can occur because of blood vessel or mucosal damage. You are therefore supervised by doctors and nurses throughout the thrombolytic treatment. 4 hours after treatment, the active substance is excreted from the body and the risk of bleeding is minimal. Personnel will continue to observe you the following 24 hours.
When you come home
Further healthcare appointments
Gå direkte til:
Brug ikke informationen på denne side til at stille dine egne diagnoser, og følg kun instruktionerne i vejledningen, hvis hospitalet har henvist dig til siden.