امرأة عمرها ٧٦ سنة في اليوم الأول بعد سكتة دماغية، عندها ضعف في الجهة اليمنى، وواعية وتتكلم ببطء. الحرارة طبيعية، والتشبع ٩٦٪. تقول إنها عطشانة جداً وتطلب ماء من ابنتها. ما الإجراء الأول؟

A 76-year-old woman on day 1 after a stroke has right-sided weakness and is alert, speaking slowly. Temperature normal, SpO2 96%. She says she is very thirsty and asks her daughter for water. What is the first action?

1. Give juice instead of water
2. Perform a swallow screen before anything by mouth
3. Give water through a straw because it is easier
4. Give the oral medicines with water first

Answer: B) Perform a swallow screen before anything by mouth. Dysphagia is common after stroke and raises aspiration pneumonia risk. Nothing, including medicines, is given orally until a swallow screen is passed.