Question

A patient with acute ischemic stroke presents 90 minutes after last known well. BP 178/98 mm Hg, NIHSS 10, CT head shows no hemorrhage. What is the recommended thrombolysis approach?

Accepted Answer

Alteplase 0.9 mg/kg (max 90 mg) with BP maintained ≤185/110 mm Hg before and during infusion

Answer

Tenecteplase 0.5 mg/kg IV bolus for all patients

Answer

Alteplase only if age <70 years

Answer

No thrombolysis because time window is <2 hours

Answer

Alteplase after waiting for MRI

Practice question

A patient with acute ischemic stroke presents 90 minutes after last known well. BP 178/98 mm Hg, NIHSS 10, CT head shows no hemorrhage. What is the recommended thrombolysis approach?