Creatinine Clearance Formula:
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Creatinine clearance (CrCl) is a measure of the rate at which creatinine is cleared from the blood by the kidneys. It provides an estimate of the glomerular filtration rate (GFR) and is commonly used to assess kidney function and adjust medication dosages.
The calculator uses the Cockcroft-Gault formula:
Where:
Explanation: The formula estimates creatinine clearance based on age, weight, serum creatinine level, and gender, providing a practical assessment of kidney function.
Details: Creatinine clearance is crucial for evaluating kidney function, diagnosing renal impairment, and determining appropriate drug dosages for medications that are excreted by the kidneys.
Tips: Enter age in years, weight in kilograms, serum creatinine in mg/dL, and select gender. All values must be valid (age between 1-120, weight > 0, creatinine > 0).
Q1: Why is gender adjustment needed in the formula?
A: Women typically have lower muscle mass than men, resulting in lower creatinine production. The 0.85 multiplier adjusts for this physiological difference.
Q2: What are normal CrCl values?
A: Normal creatinine clearance ranges from 90-130 mL/min for men and 80-125 mL/min for women. Values below these ranges may indicate impaired kidney function.
Q3: When should creatinine clearance be measured?
A: It should be assessed when evaluating kidney function, monitoring renal disease progression, or determining appropriate drug dosages for renal-excreted medications.
Q4: Are there limitations to this formula?
A: The Cockcroft-Gault formula may be less accurate in elderly patients, obese individuals, those with extreme body weights, or patients with rapidly changing renal function.
Q5: Should this be used for all drug dosing adjustments?
A: While widely used, some medications may require more precise GFR measurements or alternative estimation formulas for optimal dosing accuracy.