A 61-year-old man presents with acute unilateral weakness for 90 minutes. BP 176/100 mm Hg, glucose 110 mg/dL, CT head shows no bleed. What is the nex...

Question

A 61-year-old man presents with acute unilateral weakness for 90 minutes. BP 176/100 mm Hg, glucose 110 mg/dL, CT head shows no bleed. What is the next best step?

Accepted Answer

Give IV alteplase now if no contraindications

Answer

Lower BP to

Answer

Delay thrombolysis for MRI perfusion first

Answer

Start aspirin and clopidogrel immediately

Answer

Start heparin infusion

us-abem MCQ (SBA): Acute Ischemic Stroke

A 61-year-old man presents with acute unilateral weakness for 90 minutes. BP 176/100 mm Hg, glucose 110 mg/dL, CT head shows no bleed. What is the next best step?