A 66-year-old with suspected acute ischemic stroke presents 2 hours after onset, NIHSS 8, CT head shows no hemorrhage. BP 178/100 mm Hg. Next best act...

Question

A 66-year-old with suspected acute ischemic stroke presents 2 hours after onset, NIHSS 8, CT head shows no hemorrhage. BP 178/100 mm Hg. Next best action?

Accepted Answer

Give IV alteplase after lowering BP to

Answer

Start aspirin 325 mg now

Answer

Defer thrombolysis due to BP

Answer

Mechanical thrombectomy only

Answer

Start full-dose heparin infusion

us-abem MCQ (SBA): Acute Ischemic Stroke (tPA)

A 66-year-old with suspected acute ischemic stroke presents 2 hours after onset, NIHSS 8, CT head shows no hemorrhage. BP 178/100 mm Hg. Next best action?