Questions and Answers
What ASA classification would this be? - No systemic disease, Normal Healthy Patient, Can walk up 2 flights of stairs without distress.
What ASA classification would this be? - Has mild systemic disease, Healthy individual but has anxiety about dental treatment, Can walk up 2 flights of stairs but will have to rest afterwards.
What ASA classification would this be? - Well controlled, non-insulin dependent diabetic, Well controlled epilepsy, Well controlled asthma.
What ASA classification would a healthy pregnant woman be?
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What ASA classification would this be? - Healthy patient that has allergies, Healthy patient with extreme fear of dentistry, Healthy patient over the age of 60 years of age.
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What ASA classification would this be? Adult with blood pressure 130-139/80-89 (mild hypertension).
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What ASA classification would this be? - Has severe systemic disease, Limits activity but not incapacitating, Can walk up 2 flights of stairs but will need to rest every few steps.
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What ASA classification would this be? Stable angina pectoris (chest pain).
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What ASA classification would this be? Post MI (heart attack) more than 3 months with no residual signs or symptoms.
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What ASA classification would this be? Post CVA more than 3 months with no residual signs or symptoms.
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What ASA classification would this be? Well controlled insulin-dependent diabetic.
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What ASA classification would this be? Congestive heart failure with orthopnea (shortness of breath when lying down) & ankle swelling.
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What ASA classification would this be? COPD - emphysema (pulmonary disease) or chronic bronchitis.
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What ASA classification would this be? Exercise induced asthma.
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What ASA classification would this be? Less controlled epilepsy.
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What ASA classification would this be? Adult with BP 140-209/90-119.
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What ASA classification would this be? - Has an incapacitating systemic disease that is a constant threat to life, Can't walk, Distress at rest.
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What ASA classification would this be? Preinfarction angina pectoris (chest pain in the 24 hours before myocardial infarction).
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What ASA classification would this be? MI (heart attack) less than 3 months ago.
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What ASA classification would this be? CVA less than 3 months ago.
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What ASA classification would this be? Severe COPD - needs oxygen and/or confined to wheelchair.
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What ASA classification would this be? Uncontrolled diabetic with history of hospitalizations.
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What ASA classification would this be? - A moribund patient (point of death), Not expected to survive 24 hours.
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What ASA classification would this be? - 15 year old female, has asthma, last asthma episode was 4 months ago, carries her inhaler, no apprehension about dental treatment.
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What ASA classification would this be? - 21 year old male, medical history negative (there's nothing going on; diseases, medications, etc.), states he is extremely nervous about dental treatment.
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What ASA classification would this be? - 65 year old male, CVA 2 months ago, takes coumadin (blood thinner), takes lasix (heart medication), takes procardia (heart medication).
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What ASA classification would this be? - 50 year old female, MI (heart attack) one year ago, takes premarin for postmenopausal, takes procardia (Nifedipine) for CHF (congestive heart failure), takes nitroglycerin as needed for occasional angina.
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Study Notes
ASA Physical Status Classifications
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ASA I:
- No systemic disease.
- Normal healthy patient capable of walking up 2 flights of stairs without distress.
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ASA II:
- Mild systemic disease present.
- Healthy individual experiencing anxiety about dental treatment but can walk 2 flights of stairs with rest needed afterwards.
- Well-controlled conditions such as non-insulin dependent diabetes, epilepsy, and asthma.
- Includes healthy pregnant women and individuals with allergies or those over 60.
- Mild hypertension with blood pressure reading of 130-139/80-89.
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ASA III:
- Severe systemic disease that limits activity but is not incapacitating.
- Conditions like stable angina pectoris and well-controlled insulin dependent diabetes categorized here.
- Post-myocardial infarction (MI) more than 3 months ago with no symptoms.
- Includes post-cerebrovascular accident (CVA) cases with no residual signs after 3 months.
- Congestive heart failure characterized by orthopnea and ankle swelling.
- Chronic obstructive pulmonary disease (COPD) and exercise-induced asthma included.
- Less controlled epilepsy and adults with blood pressure readings of 140-209/90-119 noted.
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ASA IV:
- Incapacitating systemic disease that poses a constant threat to life.
- Patients unable to walk and experiencing distress at rest.
- Conditions such as pre-infarction angina, recent MI or CVA (less than 3 months ago).
- Severe COPD requiring oxygen or wheelchair confinement.
- Uncontrolled diabetes with a history of hospitalizations considered under this classification.
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ASA V:
- Moribund patient not expected to survive 24 hours.
- Represents a critical situation requiring immediate intervention.
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Clinical Examples:
- A 15-year-old female with well-controlled asthma and no fear of dental treatment classified as ASA II.
- A 21-year-old male with no medical issues but extreme dental anxiety also falls under ASA II.
- A 65-year-old male who experienced a CVA 2 months ago and is on multiple medications classified as ASA IV.
- A 50-year-old female with a history of MI and ongoing heart medications categorized as ASA III due to heart attack history.
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Description
Test your knowledge on ASA Physical Status Classifications with flashcards designed to help you identify the different classifications of patient health status. Each card presents scenarios to determine the appropriate ASA classification, from normal healthy patients to those with systemic diseases.
