Adjusted Body Weight Formula:
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Adjusted Body Weight (AdjBW) is a calculated weight used for medication dosing in obese patients. It accounts for the fact that some medications distribute differently in adipose tissue compared to lean body mass.
The calculator uses the Adjusted Body Weight formula:
Where:
Explanation: This formula adjusts for the fact that many medications have different distribution patterns in adipose tissue compared to lean body mass.
Details: Adjusted Body Weight is particularly important for accurate medication dosing in obese patients, as using total body weight may lead to overdosing, while using ideal body weight may lead to underdosing.
Tips: Enter the patient's ideal body weight and actual weight in kilograms. Both values must be valid positive numbers.
Q1: When should I use Adjusted Body Weight?
A: AdjBW is typically used for medication dosing in obese patients (BMI > 30 kg/m²) for drugs that don't distribute well into adipose tissue.
Q2: How do I calculate Ideal Body Weight?
A: IBW can be calculated using various formulas, such as the 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 alternatives to the 0.4 correction factor?
A: Some medications may use different correction factors (e.g., 0.3 or 0.5) based on specific drug distribution characteristics.
Q4: When shouldn't I use Adjusted Body Weight?
A: For medications that distribute well into adipose tissue, total body weight should be used. For medications that don't distribute into fat at all, ideal body weight should be used.
Q5: Is Adjusted Body Weight used for nutritional assessment?
A: No, AdjBW is primarily used for medication dosing. For nutritional assessment, other measures like BMI or body composition analysis are more appropriate.