Medical Emergencies · single question

When prescribing antibiotics to a 90-year-old, the most important pharmacologic consideration is:

  1. Increased drug metabolism
  2. Decreased glomerular filtration rate (age-related renal decline)
  3. Need for a higher dose
  4. No change from a young adult
Show answer and explanation

Correct answer: B. Decreased glomerular filtration rate (age-related renal decline)

  • A. Hepatic/renal function declines with age — metabolism slows, it doesn't increase.
  • B. Correct. Reduced GFR with age slows renal drug clearance, so dosing must account for decreased renal function.
  • C. Doses are often reduced, not increased, in the elderly.
  • D. Renal and hepatic decline mean dosing differs from a healthy young adult.

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