Question

A 66-year-old within 2 hours of stroke onset has BP 198/112 mm Hg and no hemorrhage on CT. What is the best next step for IV alteplase eligibility?

Accepted Answer

Lower BP to ≤185/110 mm Hg, then administer IV alteplase

Answer

Proceed with alteplase regardless of BP

Answer

Give IV alteplase and treat BP afterward

Answer

Decline alteplase; BP is an absolute contraindication

Answer

Wait 6 hours to allow BP to normalize

Practice question

A 66-year-old within 2 hours of stroke onset has BP 198/112 mm Hg and no hemorrhage on CT. What is the best next step for IV alteplase eligibility?