A 60-year-old male presents with sudden onset of right-sided weakness and slurred speech. His blood glucose is normal. He last felt well 2 hours ago. ...

Question

A 60-year-old male presents with sudden onset of right-sided weakness and slurred speech. His blood glucose is normal. He last felt well 2 hours ago. His blood pressure is 175/95 mmHg. Should his blood pressure be actively reduced pre-hospital?

Accepted Answer

No - pre-hospital blood pressure reduction in acute stroke is not recommended as it may worsen cerebral perfusion to the penumbra

Answer

Sublingual nifedipine should be given to rapidly lower BP

Answer

Yes - blood pressure should be rapidly lowered to below 140/90 mmHg

Answer

Yes - IV labetalol should be administered to bring BP below 160/90 mmHg

Answer

Blood pressure management is only relevant in haemorrhagic stroke

uk-dipimc MCQ (SBA): Blood Pressure in Acute Stroke

A 60-year-old male presents with sudden onset of right-sided weakness and slurred speech. His blood glucose is normal. He last felt well 2 hours ago. His blood pressure is 175/95 mmHg. Should his blood pressure be actively reduced pre-hospital?