Adjusted Body Weight Formula:
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Adjusted Body Weight (AdjBW) is a calculated weight used in clinical settings, particularly for medication dosing in obese patients. It accounts for the fact that adipose tissue has different pharmacokinetic properties than lean body mass.
The calculator uses the Adjusted Body Weight formula:
Where:
Explanation: This formula provides a more accurate weight measurement for drug dosing in obese patients by accounting for the different distribution characteristics of medications in adipose versus lean tissue.
Details: Adjusted Body Weight is particularly important for accurate dosing of medications that distribute differently in adipose tissue. Using actual body weight in obese patients may lead to overdosing, while using ideal body weight may result in underdosing.
Tips: Enter the patient's ideal body weight (calculated using appropriate formulas) and actual measured weight in kilograms. Both values must be positive numbers.
Q1: When should Adjusted Body Weight be used?
A: AdjBW is typically used for medication dosing in obese patients (BMI > 30 kg/m²) for drugs that have limited distribution in adipose tissue.
Q2: How is Ideal Body Weight calculated?
A: IBW can be calculated using various formulas such as Devine formula: 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.
Q3: Are there alternative adjustment factors?
A: Some medications may use different adjustment factors (e.g., 0.3 or 0.5 instead of 0.4) based on specific drug distribution characteristics.
Q4: Should AdjBW be used for all medications?
A: No, AdjBW is medication-specific. Always consult drug prescribing information or clinical guidelines for appropriate weight-based dosing recommendations.
Q5: What about patients with normal weight?
A: For patients with normal BMI (18.5-24.9 kg/m²), actual body weight is typically used for medication dosing calculations.