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← Human Body & HealthIf a drug that is normally cleared renally is administered to a patient with acute kidney injury, which consequence follows?
A)Increased first-pass hepatic metabolism
B)Elevated plasma drug concentration✓
C)Decreased drug absorption from the gut
D)Enhanced drug excretion via bile
💡 Explanation
Acute kidney injury reduces glomerular filtration and tubular secretion, thus decreasing renal clearance of the drug. Because drug elimination is impaired, plasma drug concentration increases, therefore, answer B is correct, rather than A, C, or D which involve alternative metabolic pathways.
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