Question

A 70-year-old with suspected acute ischemic stroke presents at 3 hours with BP 190/110 mm Hg. What is first step to enable IV alteplase?

Accepted Answer

Lower BP to <185/110 mm Hg before alteplase

Answer

Start alteplase immediately

Answer

No BP treatment needed

Answer

Lower BP to <140/90 mm Hg before alteplase

Answer

Use only mechanical thrombectomy

Practice question

A 70-year-old with suspected acute ischemic stroke presents at 3 hours with BP 190/110 mm Hg. What is first step to enable IV alteplase?