Question

A 72-year-old presents 2 hours after onset of left hemiparesis. BP is 200/110 mm Hg. CT head shows no hemorrhage. What is the best next step?

Accepted Answer

Lower BP to <185/110 mm Hg and administer IV alteplase

Answer

Give IV alteplase immediately without BP treatment

Answer

Delay treatment and observe for improvement

Answer

Start aspirin and clopidogrel immediately

Answer

Start heparin infusion

Practice question

A 72-year-old presents 2 hours after onset of left hemiparesis. BP is 200/110 mm Hg. CT head shows no hemorrhage. What is the best next step?