Medical Emergencies · single question

An asthmatic patient takes albuterol (a short-acting beta-2 agonist) and had their last asthma crisis 10 months ago. What is the appropriate ASA classification?

  1. ASA I (no systemic disease)
  2. ASA II (mild systemic disease — well-controlled)
  3. ASA III (severe systemic disease with limitations)
  4. ASA IV (life-threatening systemic disease)
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Correct answer: B. ASA II (mild systemic disease — well-controlled)

This patient has well-controlled asthma (last crisis 10 months ago, uses only a rescue inhaler as needed). ASA II is appropriate: mild systemic disease with no functional limitations. ASA II examples include: controlled hypertension, well-controlled DM, pregnancy, smoking, BMI 30–40, or mild asthma (like this patient). ASA III would apply if the asthma were poorly controlled, required daily steroids, or caused exercise limitation. The use of albuterol alone (no daily controller medication) and infrequent attacks support ASA II.

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