Question

A 58-year-old presents with acute ischemic stroke symptoms at 4 hours. BP 170/100. Serum glucose 65 mg/dL. What should be corrected before or during thrombolysis decision?

Accepted Answer

Correct hypoglycemia and reassess deficits; consider IV alteplase if eligible

Answer

No need to check glucose

Answer

Raise BP to >185/110

Answer

Delay therapy until MRI

Answer

Give aspirin immediately then tPA

Practice question

A 58-year-old presents with acute ischemic stroke symptoms at 4 hours. BP 170/100. Serum glucose 65 mg/dL. What should be corrected before or during thrombolysis decision?