A 70-year-old man arrives with left-sided weakness and slurred speech that started 3 hours ago. CT scan excludes haemorrhage. BP is 180/100 mmHg. He q...

Question

A 70-year-old man arrives with left-sided weakness and slurred speech that started 3 hours ago. CT scan excludes haemorrhage. BP is 180/100 mmHg. He qualifies for IV thrombolysis. According to NICE guidelines, how should his high blood pressure be managed before thrombolysis?

Accepted Answer

It must be lowered to

Answer

No need to adjust BP before thrombolysis

Answer

Aim for systolic BP

Answer

Stop all antihypertensive medications

Answer

Immediate IV betablockers to reduce BP to

ukmla MCQ (SBA): Ischaemic Stroke

A 70-year-old man arrives with left-sided weakness and slurred speech that started 3 hours ago. CT scan excludes haemorrhage. BP is 180/100 mmHg. He qualifies for IV thrombolysis. According to NICE guidelines, how should his high blood pressure be managed before thrombolysis?