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Creatinine Clearance Calculator Canada

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 is a widely used method for estimating creatinine clearance (CrCl) from serum creatinine, age, weight, and gender. It is commonly used for drug dosing adjustments in patients with renal impairment.

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 values, with adjustment for gender differences in muscle mass.

3. Importance of CrCl Calculation

Details: Creatinine clearance estimation is essential for adjusting medication dosages in patients with renal impairment, particularly for drugs that are primarily eliminated by the kidneys.

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 a well-validated method for estimating creatinine clearance and is widely used in clinical practice for drug dosing adjustments.

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

Q3: When should creatinine clearance be measured?
A: When prescribing medications that require renal dose adjustment, in patients with known or suspected renal impairment.

Q4: Are there limitations to this formula?
A: Less accurate in extremes of age, obesity, malnutrition, amputees, and patients with rapidly changing renal function.

Q5: Is this formula suitable for all populations?
A: While widely used, newer equations like CKD-EPI may be more accurate for certain populations, but Cockcroft-Gault remains the standard for drug dosing.

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