Renal & Fluids

Renal function drives dose adjustment for a large number of drugs, which makes creatinine clearance one of the most consequential numbers in pharmacy. This group covers Cockcroft–Gault — the equation most product labelling is written around, and not the same quantity as a laboratory-reported eGFR — alongside maintenance fluid requirements, infusion rate and drop factor conversions, and the BUN to creatinine ratio. Each states where the estimate stops being reliable: unstable renal function, extremes of body habitus, and low muscle mass.

4 calculators1 high-risk

High-consequence calculations in this group

These carry a greater risk of harm if the result is wrong or misapplied. Each states its own limits on its page; read them before acting on a number.

  • Creatinine clearance (Cockcroft–Gault) — Estimate creatinine clearance from age, sex, serum creatinine, and weight — the equation on which most renal dose adjustments in product labelling are based.

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Also known as

CrCl · creatinine clearance · cockcroft · gault · renal function · kidney function · renal dosing · GFR · maintenance fluid · holliday segar · 4-2-1 · fluid requirement · hydration · mL/kg/day · drip rate · drops per minute · gtt/min · flow rate · infusion · drop factor · IV rate · BUN SCr · BUN creatinine ratio · dehydration · prerenal · volume depletion · azotaemia