Medical Emergencies · single question

A patient has a blood pressure of 142/95 mmHg. According to the ASA physical status classification, this patient is:

  1. ASA I
  2. ASA II
  3. ASA III
  4. ASA IV
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Correct answer: C. ASA III

Under the updated ADA/AHA 2017 guidelines and common board conventions: <120/80 = normal (ASA I); 120–139/80–89 = ASA II (elevated/Stage 1); ÔëÑ140/90 = Stage 2 hypertension ÔåÆ ASA III (severe systemic disease). Because 142/95 is Stage 2 hypertension, the classification is ASA III. Elective dental treatment may still be delivered with stress/anxiety management, but referral is warranted for medical optimization.

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