Question

A 64-year-old with acute ischemic stroke presents 2 hours after onset, BP 170/96 mm Hg, glucose 120 mg/dL, CT negative for hemorrhage. What is the recommended thrombolytic approach?

Accepted Answer

Alteplase 0.9 mg/kg IV with max dose 90 mg

Answer

Tenecteplase 0.9 mg/kg IV

Answer

Alteplase 0.9 mg/kg IV with max dose 70 mg

Answer

Alteplase 0.6 mg/kg IV

Answer

Tenecteplase 0.25 mg/kg IV is contraindicated

Practice question

A 64-year-old with acute ischemic stroke presents 2 hours after onset, BP 170/96 mm Hg, glucose 120 mg/dL, CT negative for hemorrhage. What is the recommended thrombolytic approach?