ASA PHYSICAL STATUS (ASA-PS) CLASSIFICATIONS (homework included)
What classifies a ASA-PS I?
*Client who is taking birth control medications *Client who is 65 years of age or younger (who is on hormone replacement therapy)
What classifies a ASA-PS III?
1) Stable angina pectoris 2) Status post-myocardial infarction (6 MONTHS OF NO SIGNS/SYMPTOMS) 3) Status post-cardiovascular accident (6 MONTHS OF NO SIGNS/SYMPTOMS) 4) Well-controlled Type 1 diabetes 5) Moderate COPD 6) Less well-controlled epilepsy 7) Hyperthyroid or hypothyroid disorders who are symptomatic 8) High blood pressure (HYPERTENSION STAGE 2) 9) AIDS 10) Hemophilia 11) Chronic renal failure 12) Controlled congestive heart failure
What classifies an ASA-PS IV?
1) Unstable angina pectoris 2) Status post-myocardial infarction (WITHIN PAST 6 MONTHS) 3) CVA (WITHIN PAST 6 MONTHS) 4) High blood pressure (HYPERTENSION STAGE 2->180/>110) 5) Severe, symptomatic CHF or COPD (requiring oxygen supplementation or has wheelchair 6) Uncontrolled epilepsy (Hospitalization) 7) Uncontrolled Type 1 diabetes 8) Hepatorenal failure 9) Advanced AIDS 10) Uncontrolled thyroid condition
What classifies a ASA-PS II?
1) Well-controlled epilepsy 2) Well-controlled asthma 3) Well-controlled Hyperthyroid or hypothyroid disorders 4) ASA-PS I patients with an upper respiratory infection 5) Healthy, pregnant women 6) Health patients with allergies 7) Healthy patients with extreme dental fears 8) Healthy patients over age 65 years 9) High blood pressure (HYPERTENSION-STAGE 1) 10? Type 2 diabetes 11) A heart murmur 12) A symptomatic rheumatic heart disease 13) HbsAg+ 14) HIV 15) Mild COPD in a NON-SMOKER 16) Coronary by-pass surgery
What is a ASA-PS II?
A patient with a mild systemic disease.
What is ASA-PS IV?
A patient with an incapacitating systemic diseased that is a constant threat to life.
What is a ASA-PS III?
A patient with severe systemic disease that limits activity but is not incapacitating.
What is a ASA-PS I?
A patient without systemic diseases; a normal, healthy patient.
A healthy client. Does not have any positive findings on the medical history. Client is not anxious about the dental hygiene appointment.
ASA-PS I
Client is 5 months into a healthy pregnancy. Medical history is negative?
ASA-PS II
Client is a well-controlled Type 2 diabetic?
ASA-PS II
Client is a well-controlled asthmatic?
ASA-PS II
Client that is extremely nervous about the dental hygiene appointment?
ASA-PS II
Healthy client, with an allergy to penicillin?
ASA-PS II
Client had a stroke 5 years ago?
ASA-PS III
Client has a history of myocardial infarction (1996)?
ASA-PS III
Client has stable angina pectoris?
ASA-PS III
Client is a well-controlled Type 1 diabetic?
ASA-PS III
Client had a myocardial infarction two months ago?
ASA-PS IV
Client had a stroke 4 months ago?
ASA-PS IV
Client is an uncontrolled Type 1 diabetic?
ASA-PS IV