AEMCA Practice Exam

If stroke symptoms persist after correction of blood glucose, should the patient be contraindicated out of the stroke bypass protocol?

1. Yes

2. No

3. Only if family approves

4. Only in severe cases

The correct answer is: No

The scenario presented highlights the importance of evaluating stroke symptoms independently of blood glucose levels. When a patient exhibits stroke-like symptoms, it is crucial to proceed with a thorough assessment to determine the underlying cause, which may not be solely related to blood sugar levels. If symptoms continue after correcting blood glucose, this indicates that the cause of the stroke symptoms could be unrelated to glucose levels, such as an actual cerebrovascular event (e.g., ischemic or hemorrhagic stroke). Thus, the patient should not be removed from the stroke bypass protocol. Doing so is essential for ensuring timely intervention, as every minute counts in the treatment of stroke to minimize potential brain damage. The stroke bypass protocol is designed to expedite care to those showing stroke symptoms, and breaking that protocol without resolving the primary issue could lead to detrimental outcomes. Therefore, persistent stroke symptoms necessitate adherence to the stroke protocol regardless of blood glucose normalization.