ASA Classification Quiz

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Questions and Answers

Which ASA classification is assigned to a normal, healthy patient with no disturbances?

  • ASA Class III
  • ASA Class I (correct)
  • ASA Class II
  • ASA Class IV

What is the primary factor in determining a patient's ASA classification?

  • Anesthesia risk
  • Proposed surgical procedure
  • Potential anesthesia complications
  • Patient's preoperative status (correct)

Which ASA classification corresponds to a patient with severe systemic disease that poses a constant threat to life?

  • ASA Class V
  • ASA Class II
  • ASA Class III
  • ASA Class IV (correct)

A patient with morbid obesity and poorly controlled diabetes would likely be classified as which ASA class?

<p>ASA Class III (A)</p> Signup and view all the answers

Which of the following describes a patient classified as ASA Class V?

<p>Patient with severe distresses, not expected to survive without surgery (B)</p> Signup and view all the answers

Which ASA classification would you assign to a patient experiencing sepsis?

<p>ASA Class IV (B)</p> Signup and view all the answers

What does an ASA Class II classification indicate about a patient's health status?

<p>Mild to moderate systemic disturbance (A)</p> Signup and view all the answers

A patient with a history of myocardial infarction more than 3 months old would likely be placed in which ASA classification?

<p>ASA Class III (B)</p> Signup and view all the answers

Which patient condition corresponds with ASA Class IV classification?

<p>Patient with severe valve dysfunction (A)</p> Signup and view all the answers

Which ASA classification is primarily concerned with patients undergoing surgery to address life-threatening conditions?

<p>ASA Class V (A)</p> Signup and view all the answers

Flashcards

ASA Classification System

System to categorize a patient's physical health before surgery, but not surgical risk.

ASA Class I

A normal, healthy patient with no systemic disturbances.

ASA Class II

Patient with mild systemic disturbance, like controlled diabetes or mild obesity.

ASA Class III

Severe systemic disturbance that limits activity, like poorly controlled diabetes.

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ASA Class IV

Severe systemic disturbance posing a constant threat to life.

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ASA Class V

Moribund patients needing surgery as a last resort with little survival chance.

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Study Notes

ASA Classification System

  • Developed by the American Society of Anesthesiologists to categorize patients' physical status before surgery.
  • Provides insight into a patient's preoperative condition, independent of the surgical procedure planned.
  • Does not indicate anesthesia or surgical risk.

ASA Class I

  • Represents a normal, healthy patient.
  • No organic, physiological, biochemical, or psychiatric disturbances.
  • Example: A healthy individual who does not smoke and consumes minimal alcohol.

ASA Class II

  • Describes a patient with mild to moderate systemic disturbance.
  • Condition includes mild diseases with no significant functional limitations.
  • Examples: Current smokers, social alcohol drinkers, pregnant women, individuals with obesity (BMI 30-40), well-controlled diabetes, mild hypertension, mild lung disease.

ASA Class III

  • Indicates severe systemic disturbances that limit activity.
  • Includes patients with substantive functional limitations and one or more moderate to severe diseases.
  • Examples: Poorly controlled diabetes or hypertension, chronic obstructive pulmonary disease (COPD), morbid obesity (BMI > 40), active hepatitis, alcohol dependence, implanted pacemaker, moderate reduction of ejection fraction, end-stage renal disease undergoing dialysis, and a history of myocardial infarction, cerebrovascular accident, transient ischemic attack, or coronary artery disease.

ASA Class IV

  • Refers to a severe systemic disturbance posing a constant threat to life.
  • Patients have severe systemic diseases that require vigilant monitoring.
  • Examples: Recent history of myocardial infarction, cerebrovascular accident, transient ischemic attack, coronary artery disease, ongoing cardiac ischemia, severe valve dysfunction, significant reduction in ejection fraction, sepsis, disseminated intravascular coagulation (DIC), acute respiratory distress syndrome (ARDS), or end-stage renal disease not undergoing dialysis.

ASA Class V

  • Describes moribund patients requiring surgery as a resuscitative measure, with little chance of survival.
  • Indicates patients whose survival is not expected without surgical intervention.
  • Examples: Situations involving ruptured abdominal or thoracic aneurysms, massive trauma, intracranial bleeding with mass effect, ischemic bowel in the context of significant cardiac issues, or multiple organ/system dysfunction.

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