Question

A 54-year-old has acute ischemic stroke symptoms for 2 hours. BP 178/100 mmHg, glucose 118 mg/dL, CT head shows no hemorrhage. Next best step?

Accepted Answer

Administer IV alteplase and lower BP to <185/110 mmHg before treatment

Answer

Start dual antiplatelet therapy now

Answer

Delay therapy until MRI

Answer

Give heparin infusion

Answer

Withhold reperfusion because BP is above 160/90 mmHg

Practice question

A 54-year-old has acute ischemic stroke symptoms for 2 hours. BP 178/100 mmHg, glucose 118 mg/dL, CT head shows no hemorrhage. Next best step?