Question

A 70-year-old man with acute right-sided weakness for 2 hours has CT head excluding haemorrhage. He is within the thrombolysis window and has no contraindications. What is the immediate management?

Accepted Answer

Alteplase followed by aspirin after 24 hours

Answer

Aspirin 300 mg immediately

Answer

Clopidogrel loading then alteplase

Answer

BP reduction to <140/90 mmHg before thrombolysis in all

Answer

Start dual antiplatelets now

Practice question

A 70-year-old man with acute right-sided weakness for 2 hours has CT head excluding haemorrhage. He is within the thrombolysis window and has no contraindications. What is the immediate management?