Question

A 59-year-old with suspected stroke at 2 hours, NIHSS 12, BP 182/106 mmHg, CT head normal. Next step?

Accepted Answer

Lower BP to <185/110 mmHg and give IV alteplase within 4.5 hours

Answer

Alteplase now; BP acceptable

Answer

Wait for MRI before therapy

Answer

Load dual antiplatelets instead of thrombolysis

Answer

Permissive hypertension to SBP 220 then reassess tomorrow

Practice question

A 59-year-old with suspected stroke at 2 hours, NIHSS 12, BP 182/106 mmHg, CT head normal. Next step?