Question

A 74-year-old with ischemic stroke 90 minutes ago has NIHSS 7, CT head shows no hemorrhage. BP is 178/98 mm Hg, glucose 120 mg/dL, platelets 220,000/µL. What is the best immediate therapy?

Accepted Answer

IV alteplase 0.9 mg/kg within 4.5 hours

Answer

IV tenecteplase 0.5 mg/kg

Answer

Aspirin 325 mg now, then clopidogrel

Answer

Start therapeutic heparin infusion

Answer

Lower BP to <160/90 and observe

Practice question

A 74-year-old with ischemic stroke 90 minutes ago has NIHSS 7, CT head shows no hemorrhage. BP is 178/98 mm Hg, glucose 120 mg/dL, platelets 220,000/µL. What is the best immediate therapy?