Question

A 72-year-old with minor ischemic stroke receives tPA at 2 hours. BP rises to 186/112 mm Hg during infusion. Best management?

Accepted Answer

Administer IV labetalol to lower BP <180/105 mm Hg during and after infusion

Answer

Continue tPA without BP control

Answer

Stop tPA permanently

Answer

Target BP <140/90 mm Hg immediately

Answer

Give IV hydralazine to lower diastolic to <90 mm Hg only

Practice question

A 72-year-old with minor ischemic stroke receives tPA at 2 hours. BP rises to 186/112 mm Hg during infusion. Best management?