Chapter 33: Estimating Renal Function

Chapter 33. Estimating Renal Function

DF is a 50-year-old African American woman who is 63-in tall and weighs 130 lb. Her current serum creatinine is 1.6 mg/dL. What is her ideal body weight (IBW)?

a. 125 lb

b. 115 lb

c. 135 lb

d. 165 lb

Answer b is correct.

IBW (women) = 45.5 + 2.3 (3 in over 5 ft) = 52.4 kg × 2.2 lb/1 kg = 115 lb

DF is a 50-year-old African American woman who is 63-in tall and weighs 130 lb. Her current serum creatinine is 1.6 mg/dL. What is DF’s creatinine clearance as estimated by the Cockcroft-Gault equation?

a. 41 mL/min

b. 34 mL/min

c. 50 mL/min

d. 58 mL/min

Answer b is correct.

CrCl = [(140 − 50) × 52.4 kg /72 × 1.6 mg/dL] × 0.85 = ∼35 mL/min

DF is a 50-year-old African American woman who is 63 in tall and weighs 130 lb. Her current serum creatinine is 1.6 mg/dL. What is DF’s glomerular filtration rate (GFR) as estimated by the Modification of Diet in Renal Disease (MDRD) equation?

a. 25 mL/min

b. 35 mL/min

c. 45 mL/min

d. 55 mL/min

Answer b is correct.

GFR = 186 × 1.6^−1.154 × 50^−0.203 × 0.742 = ∼36 mL/min

AS is a 79-year-old African American man who is 71-in tall and weighs 190 lb. His current serum creatinine is 1.2 mg/dL. What is his ideal body weight (IBW)?

a. 145 lb

b. 156 lb

c. 166 lb

d. 254 lb

Answer c is correct.

IBW (man) = 50 + 2.3 (11 in over 5 ft) = 75.3 kg × 2.2 lb/1 kg = 166 lb

AS is a 79-year-old African American man who is 71-in tall and weighs 190 lb. His current serum creatinine is 1.2 mg/dL. What is AS’s creatinine clearance as estimated by the Cockcroft-Gault equation?