A 68‑year‑old presents 2 hours after right‑sided weakness and aphasia. BP 198/110 mmHg, glucose 120 mg/dL, CT head shows no hemorrhage. What is the ne...

Question

A 68‑year‑old presents 2 hours after right‑sided weakness and aphasia. BP 198/110 mmHg, glucose 120 mg/dL, CT head shows no hemorrhage. What is the next step for IV thrombolysis eligibility?

Accepted Answer

Lower BP to

Answer

Proceed with alteplase immediately

Answer

Give tenecteplase 0.25 mg/kg without BP control

Answer

Delay therapy and obtain carotid duplex first

us-abem MCQ (SBA): Acute Ischemic Stroke-IV Thrombolysis

A 68‑year‑old presents 2 hours after right‑sided weakness and aphasia. BP 198/110 mmHg, glucose 120 mg/dL, CT head shows no hemorrhage. What is the next step for IV thrombolysis eligibility?