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Multiple Choice

What is the recommended action regarding blood glucose in stroke patients?

In suspected stroke, quickly checking and managing blood glucose is essential because abnormal glucose levels can imitate a stroke and influence brain injury. If the glucose is low, treat immediately with 50% dextrose given by slow IV push (usually 25 g, 50 mL). Correcting hypoglycemia removes a reversible cause of neurologic deficit and helps prevent misdiagnosis or delays in stroke treatment. If glucose isn’t low, you still assess and monitor as part of general stroke care and avoid delaying stroke protocols for glucose issues. Routine insulin administration in the field is not indicated for suspected stroke; it’s not used as a baseline measure.

In suspected stroke, quickly checking and managing blood glucose is essential because abnormal glucose levels can imitate a stroke and influence brain injury. If the glucose is low, treat immediately with 50% dextrose given by slow IV push (usually 25 g, 50 mL). Correcting hypoglycemia removes a reversible cause of neurologic deficit and helps prevent misdiagnosis or delays in stroke treatment. If glucose isn’t low, you still assess and monitor as part of general stroke care and avoid delaying stroke protocols for glucose issues. Routine insulin administration in the field is not indicated for suspected stroke; it’s not used as a baseline measure.