Question

A 59-year-old presents 2 hours after onset of right hemiparesis and aphasia. BP is 165/95 mmHg after labetalol. CT head shows no hemorrhage. Which intervention is indicated?

Accepted Answer

IV alteplase (tPA) 0.9 mg/kg within the window

Answer

Begin dual antiplatelet therapy immediately

Answer

Delay treatment and repeat CT in 6 hours

Answer

Full-dose heparin infusion

Answer

No acute therapy; admit for observation

Practice question

A 59-year-old presents 2 hours after onset of right hemiparesis and aphasia. BP is 165/95 mmHg after labetalol. CT head shows no hemorrhage. Which intervention is indicated?