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Adjusted Body Weight Calculator

Calculate adjusted body weight (ABW) for drug dosing in obese patients.
Used in anesthesia and pharmacology for accurate medication calculations.

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Adjusted Body Weight

Adjusted Body Weight (ABW) is used when actual body weight significantly exceeds ideal body weight, particularly for drug dosing in obese patients.

Formula: ABW = IBW + 0.4 x (Actual Weight - IBW)

Where:

  • ABW = Adjusted Body Weight
  • IBW = Ideal Body Weight
  • 0.4 = correction factor (standard for most drugs)

Ideal Body Weight (Devine formula):

  • Males: IBW (kg) = 50 + 2.3 x (height in inches - 60)
  • Females: IBW (kg) = 45.5 + 2.3 x (height in inches - 60)

Imperial to metric: 1 lb = 0.4536 kg, 1 inch = 2.54 cm

When to use ABW:

  • Patient"s actual weight exceeds IBW by >20%
  • Dosing aminoglycosides (gentamicin, tobramycin)
  • Some anesthetic agents
  • Certain chemotherapy protocols

Important: This calculator is for educational purposes only. Always verify dosing with a clinical pharmacist and follow institutional protocols.


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