ACLS Megacode 5: Stroke

A 78 y/o M presents with acute onset of left arm and leg weakness which started 1 hour prior to arrival.

Your exam reveals male, appearing his stated age with the following vitals: T 36.9 / P 101 / BP 190/100 / RR 18 / O₂ 100%.

Your exam reveals left sided arm and leg hemiparesis.

Blood sugar is wnl. Patient is brought promptly to CT scan, which is negative for intra-cranial hemorrhage.

You are concerned for ischemic stroke and are considering administration of TPA.