Clearance Formula:
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Renal clearance is a measurement of the kidney's ability to remove a substance from the blood. It represents the volume of plasma completely cleared of a substance per unit time by the kidneys.
The calculator uses the standard clearance formula:
Where:
Explanation: This formula calculates the renal clearance by comparing the amount of substance excreted in urine to its concentration in plasma.
Details: Clearance measurements are essential for assessing kidney function, determining drug dosing in renal impairment, and evaluating the elimination of various substances from the body.
Tips: Enter urine concentration in mg/mL, urine flow rate in mL/min, and plasma concentration in mg/mL. All values must be positive numbers greater than zero.
Q1: What is the clinical significance of renal clearance?
A: Renal clearance helps assess kidney function, monitor disease progression, and adjust medication dosages for patients with renal impairment.
Q2: What are normal clearance values for creatinine?
A: Normal creatinine clearance is approximately 95-125 mL/min for women and 110-150 mL/min for men, though values vary with age and body size.
Q3: How is urine collection performed for clearance tests?
A: Typically, a 24-hour urine collection is used along with a plasma sample drawn during the collection period to ensure accurate measurements.
Q4: What factors can affect clearance measurements?
A: Age, gender, body surface area, hydration status, medications, and underlying medical conditions can all influence clearance values.
Q5: When is clearance measurement most important?
A: It's crucial for drugs with narrow therapeutic windows, in patients with kidney disease, and when monitoring nephrotoxic substances.