A 74-year-old with acute ischemic stroke presents 1.5 hours after onset. BP is 200/112 mm Hg. What must occur before IV alteplase administration?...

Question

A 74-year-old with acute ischemic stroke presents 1.5 hours after onset. BP is 200/112 mm Hg. What must occur before IV alteplase administration?

Accepted Answer

Lower BP to

Answer

Proceed with alteplase; elevated BP will likely improve spontaneously

Answer

Give subcutaneous enoxaparin then alteplase

Answer

Delay thrombolysis to 6 hours to allow safer BP reduction

Answer

Give aspirin 325 mg before alteplase to reduce hemorrhage risk

us-usmle-step-2 MCQ (SBA): Acute Ischemic Stroke