A 71-year-old with witnessed onset right hemiparesis 2 hours ago, BP 178/102 mm Hg, glucose 110 mg/dL, CT head shows no hemorrhage. Next best step?...

Question

A 71-year-old with witnessed onset right hemiparesis 2 hours ago, BP 178/102 mm Hg, glucose 110 mg/dL, CT head shows no hemorrhage. Next best step?

Accepted Answer

Administer IV alteplase after lowering BP to

Answer

Start IV heparin infusion

Answer

Delay treatment pending MRI

Answer

Begin dual antiplatelet therapy immediately

Answer

Administer tenecteplase only if >4.5 hours

us-abem MCQ (SBA): Acute Ischemic Stroke