A 63-year-old presents 2 hours after stroke onset with disabling right hemiparesis. CT shows no hemorrhage. BP is 180/100 mm Hg. Weight 90 kg. What is...

Question

A 63-year-old presents 2 hours after stroke onset with disabling right hemiparesis. CT shows no hemorrhage. BP is 180/100 mm Hg. Weight 90 kg. What is the correct alteplase plan?

Accepted Answer

Give 0.9 mg/kg (max 90 mg) IV with 10% as 1-minute bolus, remainder over 60 minutes, after confirming BP

Answer

Give 1.0 mg/kg (max 100 mg) IV bolus over 5 minutes regardless of BP

Answer

Delay thrombolysis until MRI confirms infarct

Answer

Give tenecteplase 0.5 mg/kg IV push

Answer

Give alteplase 0.9 mg/kg only if age

us-abem MCQ (SBA): Acute Ischemic Stroke

A 63-year-old presents 2 hours after stroke onset with disabling right hemiparesis. CT shows no hemorrhage. BP is 180/100 mm Hg. Weight 90 kg. What is the correct alteplase plan?