Question

A patient with acute ischemic stroke is a candidate for thrombolysis but has BP 210/112 mm Hg. Next best step?

Accepted Answer

Administer IV labetalol to lower BP <185/110 mm Hg before alteplase

Answer

Proceed with alteplase immediately

Answer

Delay treatment until BP normalizes spontaneously

Answer

Give hydralazine and wait 2 hours

Answer

Start nicardipine only after alteplase

Practice question

A patient with acute ischemic stroke is a candidate for thrombolysis but has BP 210/112 mm Hg. Next best step?