Question

A 66‑year‑old presents 2 hours after right‑sided weakness and aphasia. BP is 198/112 mm Hg. CT head shows no bleed. What is the best next step to enable alteplase?

Accepted Answer

Lower BP to <185/110 mm Hg (e.g., IV labetalol) then give alteplase 0.9 mg/kg

Answer

Proceed with alteplase now

Answer

Wait until BP spontaneously improves

Answer

Give aspirin 325 mg and defer thrombolysis

Answer

Delay thrombolysis for MRI

Practice question

A 66‑year‑old presents 2 hours after right‑sided weakness and aphasia. BP is 198/112 mm Hg. CT head shows no bleed. What is the best next step to enable alteplase?