thompsonleslie0: ASA Classification Quiz

Normal and healthy

ASA 1

Able to walk up one flight of stairs or two level city blocks without distress

ASA 1

Little or no dental anxiety

ASA 1

Mild systemic disease

ASA 2

Healthy patient with extreme anxiety and fear of the dental office

ASA 2

Able to walk up one flight of stairs or two level city blocks before distress causes them to stop

ASA 2

Type II diabetes (well controlled)

ASA 2

Epilepsy

- greater or less than 1 episode/month (well controlled)

ASA 2

Asthma

- less than or equal to 1 episode/month (well controlled)

ASA 2

Hyperthyroid or Hypothyroid disorders (well controlled)

ASA 2

ASA 1 patients presenting with upper respiratory tract infections

ASA 2

Healthy pregnant patient

ASA 2

Healthy patients with allergies, especially to drugs

ASA 2

Healthy patient with extreme dental fears/anxiety

ASA 2

Adult with BP between 140 and 159 (systolic) and 90 to 94 (diastolic)

ASA 2

BMI between 30-39.9 (obese)

ASA 2

Post CVA more than 6 months with no residual signs/symptoms

ASA 2

Severe systemic disease

ASA 3

patient with current UTI

ASA 2

Patient does not exhibit distress normally, but does when encountering physiologic or psychologic stress (ex. normal in waiting area but chest pains in the dental chair)

ASA 3

Able to negotiate one flight of stairs OR two level city blocks, but will have to stop and rest at least once while en route.

ASA 3

Is elective dental care contraindicated for ASA 3?

No - but patient's risk during treatment is increased. Consider treatment modifications.

Angina pectoris (stable)

ASA 3

Documented MI more than 6 months before dental treatment, no residual signs or symptoms

ASA 3

Documented MI less than 6 months prior to dental appointment where the degree of myocardial damage is minimal

ASA 3 (requires med consult)

Post-CVA more than 6 months prior to dental appointment and with minimal residual signs and symptoms

ASA 3

Type 1 Diabetes (well controlled)

ASA 3

COPD: emphysema or chronic bronchitis

ASA 3

Exercise-induced asthma

ASA 3

CHF w/o orthopnea/ankle edema

ASA 3

COPD

ASA 3

Epilepsy (less well controlled)

ASA 3

Hyperthyroid or hypothyroid disorders (symptomatic)

ASA 3

Renal dialysis patients

ASA 3

Adults with BP 160 to 199 (systolic) and 95 to 114 (diastolic)

ASA 3

BMI >40 (morbidly obese)

ASA 3 (May be ASA 4 depending on comorbidities)

Incapacitating systemic disease that is a constant threat to life

ASA 4

Patient is unable to walk up one flight of stairs or two level city blocks. Distress is present even at rest.

ASA 4

Is elective dental treatment contraindicated for ASA 4?

YES

Unstable angina pectoris

ASA 4

MI within the last 6 months

ASA 4

CVA within the last 6 months

ASA 4

BP greater than 200 (systolic) or 115 (diastolic)

ASA 4

Severe HF or COPD (requiring O2 or confinement to wheelchair)

ASA 4

Epilepsy (uncontrolled w/ history of hospitalization)

ASA 4

Type I Diabetes (Uncontrolled with history of hospitalization)

ASA 4

Patient is moribund and not expected to survice more than 24 hours

ASA 5

drinks 2-4 alcoholic beverages/week

ASA 1

Alcoholic

ASA 3

Smokes 2-3 cigarettes 3 times a year

ASA 1

BP 156/90 - elevated due to pain from cracked tooth

• 117/77 after receiving local anesthesia

ASA 1

Multivitamin

ASA 1

patient with mild systemic disease

ASA 2