Renal 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 and is expressed in mL/min.
The calculator uses the renal clearance formula:
Where:
Explanation: This formula calculates the volume of plasma that would be completely cleared of a substance per minute based on urinary excretion and plasma concentration.
Details: Renal clearance measurements are essential for assessing kidney function, determining glomerular filtration rate (GFR), evaluating drug elimination, and diagnosing various renal disorders.
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 Normal Range For Renal Clearance?
A: Normal renal clearance varies by substance. For inulin (gold standard GFR marker), normal is 90-120 mL/min in adults. Creatinine clearance is typically 85-125 mL/min for men and 75-115 mL/min for women.
Q2: How Does Renal Clearance Differ From GFR?
A: GFR is the clearance of a substance that is freely filtered but neither reabsorbed nor secreted. Renal clearance can measure the handling of any substance, including those that are reabsorbed or secreted.
Q3: When Should Renal Clearance Be Measured?
A: Renal clearance should be measured when precise assessment of kidney function is needed, for drug dosing in renal impairment, or when standard GFR estimates are unreliable.
Q4: What Are The Limitations Of This Calculation?
A: Accuracy depends on proper urine collection timing, stable plasma concentrations, and complete bladder emptying. The calculation assumes steady-state conditions.
Q5: Can This Formula Be Used For All Substances?
A: Yes, but interpretation varies. Clearance less than GFR indicates net reabsorption, while clearance greater than GFR indicates net secretion of the substance.