Adjusted Body Weight Formula:
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Adjusted Body Weight is used for drug dosing in obese patients, as it accounts for the fact that adipose tissue may not contribute equally to drug distribution as lean body mass. It's calculated based on the patient's actual weight and ideal body weight.
The calculator uses the Adjusted Body Weight formula:
Where:
Explanation: The equation adjusts the weight calculation to account for the reduced contribution of adipose tissue to drug distribution.
Details: Using adjusted body weight is crucial for accurate drug dosing in obese patients, particularly for medications with narrow therapeutic windows where overdosing or underdosing could be harmful.
Tips: Enter actual weight and ideal body weight in kilograms. Both values must be positive numbers. Ideal body weight can be calculated separately based on height and gender.
Q1: When should adjusted body weight be used?
A: It should be used for dosing in obese patients (BMI ≥30 kg/m²) for certain drugs where distribution is primarily in lean tissue.
Q2: What's the difference between adjusted and ideal body weight?
A: Ideal body weight is based on height and gender, while adjusted body weight accounts for excess weight in obese patients.
Q3: For which drugs is adjusted body weight commonly used?
A: It's often used for aminoglycosides, vancomycin, and other drugs with distribution primarily in lean tissue.
Q4: Should adjusted body weight be used for all obese patients?
A: No, the decision depends on the specific drug and the patient's characteristics. Some drugs may require dosing based on actual weight.
Q5: How is ideal body weight calculated?
A: For men: 50 kg + 2.3 kg per inch over 5 feet. For women: 45.5 kg + 2.3 kg per inch over 5 feet.