Now 4hrs 15 mins (255 mins) since onset, BP currently 172/85, NIHSS unchanged at 6.
Request further advanced imaging (e.g. CTP, MRI, MRP) to guide treatment?
CTP shows acute right perfusion deficit in right PCA territory.
Any BP intervention?
- No BP intervention
- Lower SBP to <180mmHg before bolus
- Start lowering BP, but give bolus before attaining target
None of our experienced colleagues recommended BP intervention.
Any lysis intervention?
- No lysis
- Treat with alteplase 0.9mg/kg
- Treat with alteplase 0.6mg/kg
- Treat with tenecteplase
3/5 recommended no lysis, 2/5 recommended tenecteplase.
Refer for thrombectomy?
- Yes
- No
3/5 of our experienced colleagues recommended no referral for thrombectomy, 2/5 recommended referral.
