A patient with acute ischemic stroke presents 2 hours after onset, BP 170/95 mmHg, no contraindications. Best next step?...

Question

A patient with acute ischemic stroke presents 2 hours after onset, BP 170/95 mmHg, no contraindications. Best next step?

Accepted Answer

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

Answer

Wait until 4.5 hours to reassess

Answer

Start aspirin and delay thrombolysis

Answer

Give IV tenecteplase 0.1 mg/kg instead of alteplase per guideline mandate

Answer

Decline reperfusion and admit for observation

us-usmle-step-2 MCQ (SBA): Acute Ischemic Stroke