Case Steven Q10: Thirty minutes after starting intravenous thrombolysis (tPA), the patient begins to lift his hand and shows improvement in his speech. What should be done at this stage?

Correct answer is A: Continue thrombolysis When a patient receiving intravenous thrombolysis (tPA) shows improvement in symptoms, this is generally a positive sign indicating that the treatment is having the desired effect. The appropriate action is to continue the thrombolysis as planned, following the standard dosing protocol: Continue Thrombolysis: The patient should continue receiving the tPA infusion for the full duration (usually 60 minutes) to maximize the potential benefits of the treatment. Prematurely stopping thrombolysis could reduce the effectiveness of the treatment and potentially worsen the patient's condition. Stop Thrombolysis: Stopping tPA prematurely is not warranted if the patient is showing improvement. There is no indication for cessation unless the patient develops signs of complications or adverse effects. Give Aspirin: Aspirin is not used in the acute phase of stroke management when tPA is being administered. It is typically used for secondary prevention of stroke after the acute phase. Intubate: Intubation is not indicated unless the patient exhibits signs of severe respiratory distress or loss of airway protection, which is not related to the improvement of symptoms in this scenario.