Question

A 64-year-old presents 2 hours after last-known-well with disabling neurologic deficits, BP 170/95 mm Hg, glucose 122 mg/dL, noncontrast CT negative for hemorrhage. No contraindications. Best next step?

Accepted Answer

Administer IV alteplase 0.9 mg/kg (max 90 mg)

Answer

Start aspirin 325 mg and admit

Answer

Order MRI brain and delay therapy

Answer

Begin clopidogrel and high-dose statin only

Answer

Transfer for endovascular therapy only

Practice question

A 64-year-old presents 2 hours after last-known-well with disabling neurologic deficits, BP 170/95 mm Hg, glucose 122 mg/dL, noncontrast CT negative for hemorrhage. No contraindications. Best next step?