Which patient is most likely to experience an adverse reaction to inhalation anesthesia?
1. A 15-year-old with diabetes mellitus
2. A 6-year-old with no chronic health problems
3. A 79-year-old with arteriosclerosis
4. A 55-year-old with a serious neck injury
3
Rationale 1: Adolescents are similar to adults in risk factors associated with inhalation anesthesia; they are not at high risk for an adverse reaction.
Rationale 2: Children are more sensitive to inhalation anesthesia than adults, but this 6 year-old child is healthy and so should not be at high risk for an adverse reaction.
Rationale 3: Older adults are more sensitive to the effects of inhalation anesthesia, and arteriosclerosis indicates that other organs may not be healthy.
Rationale 4: Adults are usually considered safe for inhalation anesthesia, and the neck injury is not a contraindication to anesthesia.
Global Rationale: Older adults are more sensitive to the effects of inhalation anesthesia, and arteriosclerosis indicates that other organs may not be healthy. Adolescents are similar to adults in risk factors associated with inhalation anesthesia; they are not at high risk for an adverse reaction. Children are more sensitive to inhalation anesthesia than adults, but this 6 year-old child is healthy and so should not be at high risk for an adverse reaction. Adults are usually considered safe for inhalation anesthesia, and the neck injury is not a contraindication to anesthesia.
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