Question

A 61-year-old presents 3 hours after onset of stroke symptoms; CT shows no hemorrhage. NIHSS 8. Blood glucose 118 mg/dL, BP 178/98 mm Hg. Best next step?

Accepted Answer

Administer IV alteplase after BP control to <185/110 mm Hg

Answer

Start dual antiplatelet therapy

Answer

Mechanical thrombectomy only

Answer

Withhold thrombolysis because NIHSS <10

Answer

Start heparin infusion

Practice question

A 61-year-old presents 3 hours after onset of stroke symptoms; CT shows no hemorrhage. NIHSS 8. Blood glucose 118 mg/dL, BP 178/98 mm Hg. Best next step?