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Loss of number of, and function of, nephrons

Decreased intracellular body water

Decreased kidney efficiency

Decreased glomerular filtration rate

Reduced bladder tone, capacity

Decreased secretion of sodium, H2O, urea, ammonia, and drugs

Decreased ability to concentrate and conserve H2O

Predisposed to dehydration, hypernatraemia, fluid overload, medication reactions

Increased residual urine, nocturnal urination Increased risk of incontinence