Question

A 59-year-old with acute ischemic stroke (last known well 2 hours ago) has BP 165/95 mm Hg and CT shows no hemorrhage. What is the best next step?

Accepted Answer

Administer IV alteplase after confirming eligibility

Answer

Lower BP to <140/90 before thrombolysis

Answer

Administer aspirin first, then alteplase

Answer

Withhold reperfusion because symptoms are mild

Answer

Delay treatment until MRI is obtained

Practice question

A 59-year-old with acute ischemic stroke (last known well 2 hours ago) has BP 165/95 mm Hg and CT shows no hemorrhage. What is the best next step?