A 70-year-old man is brought to ED with acute right-sided weakness and slurred speech for 3 hours. CT head is unremarkable for haemorrhage. His blood ...

Question

A 70-year-old man is brought to ED with acute right-sided weakness and slurred speech for 3 hours. CT head is unremarkable for haemorrhage. His blood pressure is 180/100 mmHg. NICE guidelines recommend what immediate action?

Accepted Answer

Administer intravenous tPA (alteplase) if no contraindications

Answer

Aggressively lower BP to

Answer

Begin aspirin 300 mg immediately

Answer

Begin clopidogrel 75 mg immediately

Answer

Perform urgent mechanical thrombectomy only

NICE Stroke Guideline MCQ (SBA): Ischaemic Stroke

A 70-year-old man is brought to ED with acute right-sided weakness and slurred speech for 3 hours. CT head is unremarkable for haemorrhage. His blood pressure is 180/100 mmHg. NICE guidelines recommend what immediate action?