Question

A 35-year-old presents with sudden right facial droop and slurred speech started 90 minutes ago. CT shows no hemorrhage. BP is 170/96 mm Hg; glucose 120 mg/dL. What is the next best step?

Accepted Answer

Administer alteplase 0.9 mg/kg (max 90 mg) with BP <185/110 mm Hg

Answer

Give tenecteplase 50 mg IV bolus immediately

Answer

Start aspirin 325 mg and defer thrombolysis

Answer

Start heparin infusion

Answer

Delay treatment for MRI perfusion imaging

Practice question

A 35-year-old presents with sudden right facial droop and slurred speech started 90 minutes ago. CT shows no hemorrhage. BP is 170/96 mm Hg; glucose 120 mg/dL. What is the next best step?