A 71-year-old woman presents 2 hours after onset of left hemiparesis (NIHSS 8). BP is 190/110 mm Hg. Noncontrast CT shows no hemorrhage. What is the b...

Question

A 71-year-old woman presents 2 hours after onset of left hemiparesis (NIHSS 8). BP is 190/110 mm Hg. Noncontrast CT shows no hemorrhage. What is the best next step regarding IV alteplase?

Accepted Answer

Lower BP to

Answer

Administer alteplase immediately at current blood pressure

Answer

Wait until 4.5 hours from onset before treating

Answer

Give platelet transfusion then alteplase

Answer

Avoid alteplase because NIHSS >5

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

A 71-year-old woman presents 2 hours after onset of left hemiparesis (NIHSS 8). BP is 190/110 mm Hg. Noncontrast CT shows no hemorrhage. What is the best next step regarding IV alteplase?