Why would you avoid giving water to a patient with heat stroke?

• A. Because it could worsen dehydration.
• B. Because it would cause electrolyte imbalance.
• C. Because it could aspirate.
• D. Because it would delay cooling.

Answer: (C)

Heat stroke often leaves the patient with altered mental status and a poor or absent gag reflex, so they may not be able to protect their airway. Introducing water by mouth can lead to aspiration into the lungs, especially if they vomit or seize, which can cause serious airway and breathing problems. That airway risk is why water isn’t given in this situation. The priority is airway protection and rapid cooling, not oral hydration.