Question

A 72-year-old presents with acute onset left-sided weakness and slurred speech for 2 hours. CT head shows no haemorrhage. BP is 180/100 mmHg. According to NICE, what is the next immediate step?

Accepted Answer

IV alteplase (thrombolysis)

Answer

Aspirin 300 mg stat

Answer

Clopidogrel 300 mg stat

Answer

Lower blood pressure urgently

Answer

Urgent MRI brain

Practice question

A 72-year-old presents with acute onset left-sided weakness and slurred speech for 2 hours. CT head shows no haemorrhage. BP is 180/100 mmHg. According to NICE, what is the next immediate step?