Which action is recommended when treating a CVA patient in a dental setting?

• A. Chair position modifications as needed
• B. Increase epinephrine
• C. Do not monitor vitals
• D. Delay transfer

Answer: (A)

Positioning the patient in the dental chair to support airway, breathing, and swallowing is essential after a cerebrovascular accident. A semi-upright or otherwise comfortable supported position helps keep the airway open, reduces the risk of aspiration from impaired swallowing, and accommodates unilateral weakness or facial droop common after a stroke. This simple chair adjustment promotes safety and cooperation during treatment and can be adjusted as needs change.

Raising or increasing epinephrine would elevate blood pressure and heart rate, which can worsen cerebrovascular instability. Not monitoring vitals removes a critical safety measure, and delaying transfer when stroke symptoms are present or worsening can delay needed emergency care. The best action is to tailor the chair position to the patient’s post-stroke needs to protect the airway and maintain stability during treatment.