Question

A 71-year-old with witnessed onset right hemiparesis 2 hours ago, BP 178/102 mm Hg, glucose 110 mg/dL, CT head shows no hemorrhage. Next best step?

Accepted Answer

Administer IV alteplase after lowering BP to <185/110 mm Hg

Answer

Start IV heparin infusion

Answer

Delay treatment pending MRI

Answer

Begin dual antiplatelet therapy immediately

Answer

Administer tenecteplase only if >4.5 hours

Practice question

A 71-year-old with witnessed onset right hemiparesis 2 hours ago, BP 178/102 mm Hg, glucose 110 mg/dL, CT head shows no hemorrhage. Next best step?