A known hypertensive presented with the features of stroke. His systolic blood pressure was 190 mm of Hg and diastolic pressure was 120 mm of Hg. What is the next thing that should be done?
  1. Monitor the blood pressure and wait until it drops to normal
  2. Immediately give t-PA
  3. Immediately give SK
  4. Immediately drop the blood pressure
Explanation
Answer: A - The next thing that should be done is to monitor the blood pressure and wait until it drops to normal. A known hypertensive with stroke features should not receive a blood thinner because it may result in additional hemorrhagic stroke. It is always better to wait and check as the blood pressure drops; then inform the doctor.
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