Which step is taken if hemorrhage is detected on a CT scan for a suspected stroke case?

• A. Initiate tPA therapy
• B. Control hypertension
• C. Perform surgical intervention immediately
• D. Administer analgesics

Answer: (B)

In the context of a suspected stroke case, if a CT scan indicates the presence of hemorrhage, the immediate priority is to manage the blood pressure effectively. Controlling hypertension is critical because elevated blood pressure can exacerbate the bleeding and increase intracranial pressure, potentially leading to worse outcomes.

When hemorrhagic stroke is confirmed, the subsequent management strategies focus on stabilizing the patient, ensuring adequate cerebral perfusion, and preventing further bleeding by optimizing blood pressure levels. This is particularly important as tPA therapy is contraindicated in cases of hemorrhagic stroke, and direct surgical intervention may not be immediately necessary, especially if the situation can be managed pharmacologically or monitored carefully.

Administering analgesics, while it may provide comfort, does not address the underlying issue of hemorrhage and control of the patient's hemodynamic status. Thus, controlling hypertension is a fundamental and immediate step in managing hemorrhagic strokes detected on imaging.