Question

A 72-year-old man presents within 2 hours of right-sided weakness and aphasia. CT head shows no haemorrhage. He has no contraindications. What is the most appropriate immediate therapy?

Accepted Answer

Alteplase (IV thrombolysis)

Answer

Aspirin 300 mg now

Answer

Clopidogrel 300 mg now

Answer

Immediate blood pressure reduction with IV labetalol to systolic 140 mmHg

Answer

Urgent carotid Doppler before treatment

Practice question

A 72-year-old man presents within 2 hours of right-sided weakness and aphasia. CT head shows no haemorrhage. He has no contraindications. What is the most appropriate immediate therapy?