Question

A 61-year-old man presents with acute unilateral weakness for 90 minutes. BP 176/100 mm Hg, glucose 110 mg/dL, CT head shows no bleed. What is the next best step?

Accepted Answer

Give IV alteplase now if no contraindications

Answer

Lower BP to <140/90 before thrombolysis

Answer

Delay thrombolysis for MRI perfusion first

Answer

Start aspirin and clopidogrel immediately

Answer

Start heparin infusion

Practice question

A 61-year-old man presents with acute unilateral weakness for 90 minutes. BP 176/100 mm Hg, glucose 110 mg/dL, CT head shows no bleed. What is the next best step?