Question

A 66-year-old with suspected acute ischemic stroke presents 2 hours after onset, NIHSS 8, CT head shows no hemorrhage. BP 178/100 mm Hg. Next best action?

Accepted Answer

Give IV alteplase after lowering BP to <=185/110 mm Hg

Answer

Start aspirin 325 mg now

Answer

Defer thrombolysis due to BP

Answer

Mechanical thrombectomy only

Answer

Start full-dose heparin infusion

Practice question

A 66-year-old with suspected acute ischemic stroke presents 2 hours after onset, NIHSS 8, CT head shows no hemorrhage. BP 178/100 mm Hg. Next best action?