Question

A 74-year-old presents within 2 hours of right hemiparesis and aphasia. BP 176/98 mm Hg, glucose 120 mg/dL, CT head shows no hemorrhage. Best next step?

Accepted Answer

Administer IV alteplase 0.9 mg/kg (max 90 mg)

Answer

Start dual antiplatelet therapy immediately

Answer

Lower BP to <140/90 before thrombolysis

Answer

Delay thrombolysis for MRI

Answer

Start heparin infusion

Practice question

A 74-year-old presents within 2 hours of right hemiparesis and aphasia. BP 176/98 mm Hg, glucose 120 mg/dL, CT head shows no hemorrhage. Best next step?