Preoperative Evaluation

Question 1

ASA I

normal healthy patient

Answer 1

healthy, nonsmoking, no or minimal alcohol use

Question 2

ASA II

patient with mild systemic disease
w/o substantive functional limitations

Answer 2

current smoker
social alcohol drinker
pregnancy
obesity
well controlled DM, HPN, mild lung disease

Question 3

ASA III

severe systemic disease
substantive functional limitations
one or more moderate to severe diseases

Answer 3

poorly controlled DM or HPN
COPD
morbid obesity
active hepatitis, alcohol dependence or abuse
implanted pacemaker
ESRD
premature infant PCA < 60 wks
history (> 3 mos) of MI, CVA, TIA, or CAD and stents

Question 4

ASA IV

patient w/ severe systemic disease that is a constant threat to life

Answer 4

recent (< 3 mos) MI, CVA, TIA, CAD or stents
ongoing ischemia or severe valve dysfunction
severe reduction of EF
sepsis
DIC
ESRD not undergoing regularly scheduled dialysis

Question 5

ASA V

moribund patient who is not expected to survive w/o the operation

Answer 5

ruptured abdominal or thoracic aneurysm
massive trauma
intracranial bleed w/ mass effect
ischemic bowel in the face of significant cardiac pathology or multiple organ or system dysfunction

Question 6

ASA VI

brain dead patient whose organs are being removed for donor responses

Answer 6

okie na haha