Question

A 70-year-old presents with sudden focal neurologic deficit (NIHSS 8) at 60 minutes after onset. BP 180/96, glucose 118 mg/dL, no anticoagulants, CT head shows no bleed. Next step before alteplase?

Accepted Answer

Lower BP to ≤185/110 and administer IV alteplase within 3 hours

Answer

Administer alteplase without BP control

Answer

Wait for MRI perfusion first

Answer

Give aspirin then reassess

Answer

Withhold therapy due to age

Practice question

A 70-year-old presents with sudden focal neurologic deficit (NIHSS 8) at 60 minutes after onset. BP 180/96, glucose 118 mg/dL, no anticoagulants, CT head shows no bleed. Next step before alteplase?