Final answer:
A patient with a recent CVA might have fluids restricted or forced based on their condition. Fluids are restricted to manage brain swelling or given intravenously to treat dehydration. The specific neurological functions affected by a blood vessel restriction depend on the area of the cortex impacted.
Step-by-step explanation:
The patient with a recent Cerebrovascular Accident (CVA), commonly referred to as a stroke, may have fluids restricted or forced depending on the specific circumstances and medical requirements. If the CVA has led to brain swelling, fluid may be restricted to manage intracranial pressure. Conversely, if the patient shows signs of dehydration, intravenous fluids are administered. The particular course of treatment would depend on various factors such as cerebral blood flow, blood pressure, and cerebrospinal fluid (CSF) dynamics.
Concerning the restriction of a blood vessel in the cerebral cortex, it would most likely affect neurological functions including motor control, sensory perception, or cognitive abilities specific to the region of the cortex involved. When a patient presents with severely low blood pressure, such as 70/45, they are likely to be confused and thirsty due to inadequate perfusion, potentially requiring fluid resuscitation. Normal blood colloid osmotic pressure with low systemic blood pressure suggests that the primary issue is related to blood volume rather than protein content, further indicating the possible need for fluid administration.
In managing CSF pressure and cerebral blood flow, treatments such as a shunt may be used to alleviate conditions like hydrocephalus by draining excess CSF, thus preventing constricted blood flow and subsequent damage. Moreover, generalized vasoconstriction, such as that in response to therapeutic measures or certain medical conditions, can lead to fluid retention and increased blood pressure.