Question

A 59-year-old presents within 2 hours of right hemiparesis and aphasia. BP is 182/108 mmHg. CT head shows no hemorrhage. What should be done to offer IV thrombolysis?

Accepted Answer

Lower BP to <185/110 and give IV alteplase 0.9 mg/kg within 4.5 hours

Answer

Lower BP to <220/120 and give alteplase

Answer

No BP treatment; give tenecteplase 0.5 mg/kg

Answer

Defer thrombolysis because BP is elevated

Answer

Give DAPT instead of thrombolysis

Practice question

A 59-year-old presents within 2 hours of right hemiparesis and aphasia. BP is 182/108 mmHg. CT head shows no hemorrhage. What should be done to offer IV thrombolysis?