Question

A 62-year-old with ischaemic stroke (onset 3 hours ago) and CT negative for bleed. BP 165/96 mmHg. Which is correct regarding thrombolysis?

Accepted Answer

Alteplase can be given within 4.5 hours if eligible

Answer

BP must be lowered to <140/90 before thrombolysis

Answer

Aspirin 300 mg should be given before thrombolysis

Answer

Dual antiplatelet should be started immediately

Answer

Thrombectomy is contraindicated after thrombolysis

Practice question

A 62-year-old with ischaemic stroke (onset 3 hours ago) and CT negative for bleed. BP 165/96 mmHg. Which is correct regarding thrombolysis?