Question

A 66-year-old with acute ischemic stroke arrives 2 hours after onset. CT shows no hemorrhage. BP 165/95. Glucose 110 mg/dL. What is the recommended alteplase dose and window?

Accepted Answer

0.9 mg/kg within 4.5 hours (max 90 mg)

Answer

0.9 mg/kg within 3 hours (max 60 mg)

Answer

0.6 mg/kg within 3 hours

Answer

1.0 mg/kg within 6 hours

Answer

Tenecteplase preferred over alteplase within 6 hours for all

Practice question

A 66-year-old with acute ischemic stroke arrives 2 hours after onset. CT shows no hemorrhage. BP 165/95. Glucose 110 mg/dL. What is the recommended alteplase dose and window?