After a recent CVA, what is typically the fluid management protocol?

Following a cerebrovascular accident (CVA), or stroke, fluid management is crucial to support the patient’s recovery and prevent complications. In the context of a CVA, restricting fluids is usually indicated to prevent conditions such as fluid overload, which can lead to cerebral edema (swelling of the brain) and increased intracranial pressure. This is particularly important if the patient has signs of heart failure or if they are unable to effectively manage their fluid intake due to neurological deficits.

While adequate hydration is important, managing fluids conservatively helps to ensure that the intracranial pressure remains stable and that the brain has the best chance for recovery. Each patient's situation may vary, but the general approach involves careful monitoring and often a restricted fluid intake unless contraindicated by other factors like dehydration.

The choices that suggest increasing or encouraging fluids do not align with the standard protocols aimed at minimizing risks associated with fluid overload.