Question

A 68-year-old presents within 2 hours of right-sided weakness and aphasia. BP 200/110 mm Hg, CT head shows no bleed. Candidate for IV alteplase. What is the next step?

Accepted Answer

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

Answer

Administer alteplase immediately at current BP

Answer

Defer thrombolysis and start aspirin now

Answer

Wait 24 hours and repeat CT

Answer

Start heparin infusion

Practice question

A 68-year-old presents within 2 hours of right-sided weakness and aphasia. BP 200/110 mm Hg, CT head shows no bleed. Candidate for IV alteplase. What is the next step?