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Cockcroft Calculation For Creatinine Clearance

Cockcroft-Gault Formula:

\[ CrCl = \frac{(140 - Age) \times Weight \times (0.85 \text{ if female})}{72 \times SCr} \]

years
kg
mg/dL

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1. What is the Cockcroft-Gault Formula?

The Cockcroft-Gault formula estimates creatinine clearance (CrCl) from serum creatinine, age, weight, and gender. It is widely used for drug dosing adjustments in patients with renal impairment and for assessing kidney function.

2. How Does the Calculator Work?

The calculator uses the Cockcroft-Gault formula:

\[ CrCl = \frac{(140 - Age) \times Weight \times (0.85 \text{ if female})}{72 \times SCr} \]

Where:

Explanation: The formula estimates creatinine clearance based on demographic and laboratory parameters, with adjustment for gender differences in muscle mass and creatinine production.

3. Importance of CrCl Calculation

Details: Creatinine clearance estimation is essential for drug dosing adjustments, particularly for medications with renal elimination. It helps prevent toxicity in patients with impaired kidney function.

4. Using the Calculator

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).

5. Frequently Asked Questions (FAQ)

Q1: Why use Cockcroft-Gault formula?
A: It is well-validated for drug dosing adjustments and widely accepted in clinical practice for estimating creatinine clearance.

Q2: What are normal CrCl values?
A: Normal CrCl is approximately 95-125 mL/min for men and 85-115 mL/min for women, declining with age.

Q3: When should this formula be used with caution?
A: In elderly patients, obese individuals, patients with extreme muscle mass, amputees, and those with rapidly changing renal function.

Q4: Are there limitations to this formula?
A: It may overestimate CrCl in elderly patients and those with low muscle mass. Alternative equations may be needed in specific populations.

Q5: Can this be used for all drug dosing?
A: While widely used, some drugs require more precise GFR estimation methods. Always consult specific drug prescribing information.

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