A 67-year-old man presents with sudden onset right-sided weakness and slurred speech that began 1 hour ago. CT brain shows no haemorrhage. BP is 170/9...

Question

A 67-year-old man presents with sudden onset right-sided weakness and slurred speech that began 1 hour ago. CT brain shows no haemorrhage. BP is 170/96 mmHg, glucose 6.5 mmol/L. There are no contraindications to thrombolysis. According to Australian stroke guidelines, what is the most appropriate next step?

Accepted Answer

Administer IV alteplase as soon as possible

Answer

Wait 24 hours and repeat CT before any treatment

Answer

Commence aspirin 300 mg orally now

Answer

Lower BP to 120/80 mmHg before treatment

Answer

Start prophylactic low molecular weight heparin

au-amc MCQ (SBA): Acute ischaemic stroke thrombolysis