Question

A 65‑year‑old man presents with sudden hemiparesis 2 hours ago. Glucose 90 mg/dL, CT head negative for bleed, BP 170/100. What is appropriate thrombolytic dosing?

Accepted Answer

Alteplase 0.9 mg/kg (max 90 mg): 10% bolus, rest over 60 min

Answer

Alteplase 1.5 mg/kg over 60 min

Answer

Tenecteplase 0.5 mg/kg bolus (standard AIS dose)

Answer

Streptokinase infusion

Answer

No thrombolysis due to BP 170/100

Practice question

A 65‑year‑old man presents with sudden hemiparesis 2 hours ago. Glucose 90 mg/dL, CT head negative for bleed, BP 170/100. What is appropriate thrombolytic dosing?