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Graded A+)FIBA Agent Test
,Total Questions 170 (20 pretest) for 3 hours passing score above
200 score
Call 911 For the quickest and highest level of care available
in the least amount of time.
FAST Face, Arm, Speech, Time
LAPSS Los Angeles Prehospital Stroke Screen
CPASS Cincinnati Stroke Scale
Stroke Management Airway, Breathing, Circulation
GCS If obtunded/comatose (GCS <8) requires intubation
LVO Large Vessel Occlusion seizures are present.
HOB 30-45 degrees; consider thrombolytics despite
seizures.
O2Sat Keep O2Sat >94%.
,Stroke Definition Sudden loss of blood circulation to an area of the
brain resulting in corresponding loss of neurologic
function.
Ischemic Stroke Thrombotic/embolic 87%
Hemorrhagic Stroke 13% (ICH or SAH)
Internal Carotid artery Large vessel atherothrombotic strokes
Lacunar Stroke Small vessel strokes related to lipohyalinotic
occlusion.
Stroke Core Measures STK 1: VTE DVT Prophylaxis
STK 2 Anti-thrombotic therapy (on discharge)
STK 3 A-Fib/A-Flutter receive anti-coagulation therapy
STK 4 Thrombolytic therapy administered
STK 5 Antithrombotic on end of Day 2 hospital stay
, STK 6 Statin (on Discharge)
CN I Olfactory Nerve (s) - smell.
CN II Optic Nerve (s) - visual acuity, use Snellen chart or
visual confrontation.
CN III Oculomotor Nerve (M) - pupillary reaction.
CN IV Trochlear Nerve (M) - eye movement.
CN5 Trigeminal Nerve (B) - facial sensation & motor
function - open mouth. Touch each cheek, clench
teeth, Touch cornea with wisp of cotton.
Corneal reflex Light touch sclera to elicit blink reflex.
CN6 Abducens Nerve (M) - follows finger without moving
head (H). Turns eyes laterally. Proprioception.
CN7 Facial Nerve (B) - smile, wrinkle face, puff cheeks,
raise eyebrows, keep eyes and lips close while you
try to open them. Facial Expressions. Secretions ear
and saliva. Taste ant 2/3 sweet, sour, bitter -
differentiate sweet & salty. Cheek and chin (wisp of
cotton). Chewing, biting, lateral jaw movements
(side to side).