Question

A 68-year-old with acute ischemic stroke presents 2 hours after onset; BP is 200/110 mm Hg. CT shows no hemorrhage. Next best step?

Accepted Answer

Lower BP with IV labetalol to <185/110, then give alteplase

Answer

Administer IV alteplase immediately

Answer

Give aspirin 325 mg then alteplase

Answer

Observe until BP declines spontaneously

Answer

Transfer directly for thrombectomy only

Practice question

A 68-year-old with acute ischemic stroke presents 2 hours after onset; BP is 200/110 mm Hg. CT shows no hemorrhage. Next best step?