This demonstrates no abnormality. What is the most appropriate initial management?

This demonstrates no abnormality. What is the most appropriate initial management?

A 54-year-old man is admitted to the Emergency Department with a left hemiplegia. His symptoms started around 5 hours ago and he has had no headache, visual disturbance or loss of consciousness. On examination a dense left hemiplegia is noted. Blood pressure is 120/78 mmHg, GCS is 15/15 and pupils are equal and reactive to light. An urgent CT scan is performed shortly after his arrival. This demonstrates no abnormality. What is the most appropriate initial management?

Enoxaparin
Alteplase
Dexamethasone
Warfarin
Aspirin

Aspirin

Stroke thrombolysis - only consider if less than 4.5 hours and haemorrhage excluded
This patient has had an ischaemic stroke. He is however outside the thrombolytic window and should therefore be treated with aspirin