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How To Calculate Cockcroft Gault

Cockcroft-Gault Equation:

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

years
kg
mg/dL

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1. What is the Cockcroft-Gault Equation?

The Cockcroft-Gault equation estimates creatinine clearance (CrCl) which correlates with glomerular filtration rate (GFR). It's widely used for drug dosing adjustments in patients with kidney impairment.

2. How Does the Calculator Work?

The calculator uses the Cockcroft-Gault equation:

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

Where:

Explanation: The equation estimates creatinine clearance based on age, weight, gender, and serum creatinine level.

3. Importance of CrCl Calculation

Details: CrCl estimation is crucial for adjusting drug dosages in patients with kidney impairment, particularly for medications with narrow therapeutic windows.

4. Using the Calculator

Tips: Enter age in years, weight in kg, serum creatinine in mg/dL, and select gender. All values must be valid (age between 1-120, weight > 0, SCr > 0).

5. Frequently Asked Questions (FAQ)

Q1: Why use Cockcroft-Gault instead of other equations?
A: Cockcroft-Gault is widely accepted for drug dosing adjustments, though newer equations like CKD-EPI may be better for GFR estimation.

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

Q3: Should actual or ideal body weight be used?
A: For obese patients, some guidelines recommend using adjusted body weight or ideal body weight.

Q4: Are there limitations to this equation?
A: Less accurate in extremes of age, weight, muscle mass, and in patients with rapidly changing kidney function.

Q5: Can this be used for all drugs requiring renal dose adjustment?
A: Most drugs use CrCl for dosing, but some may require more precise GFR measurement in certain cases.

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