Question

A 59-year-old with acute right hemiparesis and aphasia 2.5 hours after onset has BP 192/112 mmHg. CT head shows no hemorrhage. What is the most appropriate immediate management to enable reperfusion therapy?

Accepted Answer

Lower BP to ≤185/110 mmHg with IV labetalol or nicardipine then give alteplase

Answer

Give aspirin 325 mg now

Answer

Start IV heparin infusion

Answer

Proceed with alteplase at current blood pressure

Answer

Delay therapy pending MRI

Practice question

A 59-year-old with acute right hemiparesis and aphasia 2.5 hours after onset has BP 192/112 mmHg. CT head shows no hemorrhage. What is the most appropriate immediate management to enable reperfusion therapy?