Question

A 75-year-old man presents 2 hours after right-sided weakness and aphasia. CT head shows no haemorrhage. BP 168/96 mmHg. What is the most appropriate immediate management?

Accepted Answer

Alteplase thrombolysis

Answer

Aspirin 300 mg immediately

Answer

Start clopidogrel 300 mg

Answer

Urgent carotid endarterectomy

Answer

IV labetalol to reduce BP to <140/90

Practice question

A 75-year-old man presents 2 hours after right-sided weakness and aphasia. CT head shows no haemorrhage. BP 168/96 mmHg. What is the most appropriate immediate management?