Question

A 70-year-old man presents with sudden right-sided weakness and aphasia for 1.5 hours. CT head shows no haemorrhage. BP 168/96 mmHg, glucose normal. What is the most appropriate immediate treatment?

Accepted Answer

Alteplase within the therapeutic window

Answer

Aspirin 300 mg immediately

Answer

Clopidogrel 300 mg then 75 mg daily

Answer

IV labetalol to lower BP to <140 mmHg

Answer

Start dual antiplatelet therapy for 21 days

Practice question

A 70-year-old man presents with sudden right-sided weakness and aphasia for 1.5 hours. CT head shows no haemorrhage. BP 168/96 mmHg, glucose normal. What is the most appropriate immediate treatment?