Question

A 72-year-old with right-sided weakness and aphasia presents 120 minutes after last known well. BP 176/104 mm Hg, glucose 118 mg/dL, noncontrast head CT shows no hemorrhage. NIHSS 12. What is the best next step?

Accepted Answer

Administer IV alteplase 0.9 mg/kg after lowering BP to <185/110 mm Hg

Answer

Give aspirin 325 mg now

Answer

Delay therapy pending MRI

Answer

Administer tenecteplase 0.2 mg/kg IV

Answer

Start heparin infusion

Practice question

A 72-year-old with right-sided weakness and aphasia presents 120 minutes after last known well. BP 176/104 mm Hg, glucose 118 mg/dL, noncontrast head CT shows no hemorrhage. NIHSS 12. What is the best next step?