Question

A 64-year-year-old with sudden right hemiparesis arrives 90 minutes after onset. BP 176/98 mm Hg. CT shows no hemorrhage. Glucose 120 mg/dL. What is the next step?

Accepted Answer

Administer IV alteplase given within 4.5 hours and BP <185/110 mm Hg after gentle control

Answer

CT shows no hemorrhage. Glucose 120 mg/dL. What is the next step?

Answer

Withhold thrombolysis because age >60

Answer

Wait for MRI before treatment

Answer

Start IV heparin instead of thrombolysis

Practice question

A 64-year-year-old with sudden right hemiparesis arrives 90 minutes after onset. BP 176/98 mm Hg. CT shows no hemorrhage. Glucose 120 mg/dL. What is the next step?