Question

A 76-year-old woman presents with acute onset left facial droop and arm weakness for 2 hours. CT head shows no haemorrhage. BP 168/92 mmHg. What is the most appropriate immediate management?

Accepted Answer

Alteplase (thrombolysis) after eligibility confirmed

Answer

Aspirin 300 mg stat

Answer

Clopidogrel 300 mg stat

Answer

IV labetalol to reduce BP to <140 mmHg immediately

Answer

Urgent carotid endarterectomy

Practice question

A 76-year-old woman presents with acute onset left facial droop and arm weakness for 2 hours. CT head shows no haemorrhage. BP 168/92 mmHg. What is the most appropriate immediate management?