Question

A 72-year-old presents within 90 minutes of disabling right hemiparesis and aphasia. CT head shows no hemorrhage. BP is 198/106 mmHg. What is the correct immediate step to enable reperfusion?

Accepted Answer

Lower BP to <185/110 mmHg then give IV alteplase

Answer

Give IV alteplase now

Answer

Withhold alteplase; arrange thrombectomy only

Answer

Administer aspirin 325 mg now then alteplase

Answer

Wait for MRI before treating

Practice question

A 72-year-old presents within 90 minutes of disabling right hemiparesis and aphasia. CT head shows no hemorrhage. BP is 198/106 mmHg. What is the correct immediate step to enable reperfusion?