A 68-year-old man with sudden onset right-sided weakness and aphasia presents to a regional emergency department 90 minutes after symptom onset. CT br...

Question

A 68-year-old man with sudden onset right-sided weakness and aphasia presents to a regional emergency department 90 minutes after symptom onset. CT brain shows no haemorrhage. According to Australian and New Zealand living stroke guidelines, which treatment should be prioritised?

Accepted Answer

Intravenous thrombolysis with alteplase if no contraindications

Answer

Aspirin 300 mg orally immediately

Answer

Immediate carotid endarterectomy

Answer

Commence full-dose low molecular weight heparin

Answer

Antihypertensive therapy to reduce blood pressure rapidly below 120/80 mmHg

au-amc MCQ (SBA): Acute ischaemic stroke

A 68-year-old man with sudden onset right-sided weakness and aphasia presents to a regional emergency department 90 minutes after symptom onset. CT brain shows no haemorrhage. According to Australian and New Zealand living stroke guidelines, which treatment should be prioritised?