Question

A 68-year-old presents 90 minutes after right-sided weakness and aphasia. BP 198/112 mmHg; CT head shows no hemorrhage. Next step to enable thrombolysis?

Accepted Answer

Start IV nicardipine to lower BP <185/110 mmHg then give alteplase

Answer

Proceed with alteplase now and lower BP after infusion starts

Answer

Give aspirin 325 mg and observe

Answer

Delay treatment pending MRI

Answer

Immediate mechanical thrombectomy only

Practice question

A 68-year-old presents 90 minutes after right-sided weakness and aphasia. BP 198/112 mmHg; CT head shows no hemorrhage. Next step to enable thrombolysis?