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 Release 22.0, Sept. 2008
 
Chapter : ch14. Renal & Urinary System Section : Creatinine Clearance and Excretion
  Calculation of Creatinine Clearance Using A Timed Urine Specimen

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Overview :

Creatinine dynamics can be estimated by assessing urine and serum. Typically a 24 hour urine is used for the study.

 

creatinine clearance (mL/min) =

= ((urine creatinine in mg/dL) * (urine volume in mL)) / ((plasma creatinine in mg/dL) * (time period in minutes))

 

where:

• 24 hours = 1440 minutes

 

Limitations:

• It is assumed that the patient has relatively stable creatinine dynamics over the time period studied. Some patients can have fluctuating renal function sufficient to interfere with the evaluation.

• Although shorter periods of time than 24 hours can be used if needed, if the period is too short, then misleading information can be derived.

 

  References:

Pincus MR, Preuss HG, Henry JB. Chapter 7: pages 139-161 (141-143). IN: Henry JB (editor-in-chief). Clinical Diagnosis and Management by Laboratory Methods, 19th edition. WB Saunders. 1996.

 

 

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