A 60-year-old woman with acute onset right-sided weakness 90 minutes ago, BP 182/104 mmHg, noncontrast CT shows no bleed. Next best step to enable IV ...

Question

A 60-year-old woman with acute onset right-sided weakness 90 minutes ago, BP 182/104 mmHg, noncontrast CT shows no bleed. Next best step to enable IV alteplase?

Accepted Answer

Lower BP to

Answer

Delay therapy until MRI completed

Answer

Start full-dose heparin infusion

Answer

Allow permissive hypertension to 220/120 and avoid thrombolysis

Answer

Administer aspirin now and avoid tPA

us-abem MCQ (SBA): Acute Ischemic Stroke Reperfusion

A 60-year-old woman with acute onset right-sided weakness 90 minutes ago, BP 182/104 mmHg, noncontrast CT shows no bleed. Next best step to enable IV alteplase?