Drug Excretion · Pharmacology

Why are neonates (newborns) at a higher risk of drug toxicity for medications excreted by the kidneys?

  1. Their kidneys filter drugs far more rapidly than an adult's kidneys do
  2. They have excessive plasma proteins that bind almost all of the drug
  3. They produce large volumes of urine that concentrate the drug in the tubule
  4. Their renal blood flow and tubular transport mechanisms are still immature
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Correct answer: Their renal blood flow and tubular transport mechanisms are still immature

Glomerular filtration and tubular secretion are not fully developed at birth. This reduced renal capacity means that drugs excreted by the kidneys have a much longer half-life in neonates, requiring careful dose calculations.

Difficulty: Medium Question 19 of 20

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