Question

A 63-year-old with acute ischemic stroke presents 2 hours after onset, NIHSS 10, BP 176/96, glucose 120 mg/dL, no contraindications. Next step?

Accepted Answer

Administer IV alteplase now; ensure BP <185/110

Answer

Lower BP to <140/90 then give alteplase

Answer

Start aspirin immediately, avoid thrombolysis

Answer

Begin heparin infusion

Answer

Withhold therapy until MRI completed

Practice question

A 63-year-old with acute ischemic stroke presents 2 hours after onset, NIHSS 10, BP 176/96, glucose 120 mg/dL, no contraindications. Next step?