Question

A 68-year-old with acute ischemic stroke is a candidate for IV alteplase. Pre-infusion BP is 196/112 mm Hg. Best approach?

Accepted Answer

Lower BP below 185/110 then give alteplase

Answer

Proceed with alteplase without BP control

Answer

Target BP <160/90 then give alteplase

Answer

Give aspirin first then alteplase

Answer

Wait until spontaneous BP improvement

Practice question

A 68-year-old with acute ischemic stroke is a candidate for IV alteplase. Pre-infusion BP is 196/112 mm Hg. Best approach?