Question

A 70-year-old man is brought to ED with acute right-sided weakness and slurred speech for 3 hours. CT head is unremarkable for haemorrhage. His blood pressure is 180/100 mmHg. NICE guidelines recommend what immediate action?

Accepted Answer

Administer intravenous tPA (alteplase) if no contraindications

Answer

Aggressively lower BP to <140/90 mmHg

Answer

Begin aspirin 300 mg immediately

Answer

Begin clopidogrel 75 mg immediately

Answer

Perform urgent mechanical thrombectomy only

Practice question

A 70-year-old man is brought to ED with acute right-sided weakness and slurred speech for 3 hours. CT head is unremarkable for haemorrhage. His blood pressure is 180/100 mmHg. NICE guidelines recommend what immediate action?