菜单
Use when calculating renal function estimates, electrolyte corrections, acid-base physiology metrics, lipid estimates, or BMI. Includes CKD-EPI 2021, Cockcroft-Gault, anion gap, Winters formula, A-a gradient, Friedewald LDL, and related tools.
用 Codex 或 Claude 帮你安装 复制这段 Prompt，粘贴到 Codex、Claude 或其他助手里，让它检查 Skill 页面并帮你完成安装。
基于 SOC 职业分类
Use when estimating cardiovascular risk, stroke risk in atrial fibrillation, bleeding risk, pneumonia severity (CURB-65), or venous thromboembolism probability (Wells DVT/PE). Includes ASCVD PCE, CHA2DS2-VASc, HAS-BLED, Framingham, HEART, CURB-65, and Wells scores.
Use when assessing critical illness severity or neurologic status. Includes GCS, SOFA/qSOFA, MELD, NIHSS, and APACHE IV overview.
Use when applying validated ED decision rules to reduce unnecessary imaging or testing. Includes Ottawa ankle/knee rules, Canadian C-Spine rule, and the PERC rule.
Use when assessing medication appropriateness in older adults or screening for delirium or cognitive impairment. Includes STOPP/START v3, 4AT delirium screen, and Mini-Cog.
Use when calculating medication conversions or safety metrics. Includes corticosteroid equivalencies, QTc correction formulas, opioid equianalgesic conversions, and warfarin dosing adjustment guidance.
Use when applying pediatric decision rules or growth/weight-based calculations. Includes PECARN head injury rule, CDC/WHO growth standards, weight-based dosing rules, Holliday-Segar maintenance fluids, and Parkland burn formula.
| name | renal-metabolic |
| description | Use when calculating renal function estimates, electrolyte corrections, acid-base physiology metrics, lipid estimates, or BMI. Includes CKD-EPI 2021, Cockcroft-Gault, anion gap, Winters formula, A-a gradient, Friedewald LDL, and related tools. |
This skill provides structured calculation guidance for common renal and metabolic formulas used in clinical practice. It supports accurate input collection, calculation, interpretation, and safety caveats.
| Tool | Use |
|---|---|
| CKD-EPI 2021 (Creatinine) | Estimate eGFR without race variable |
| CKD-EPI 2021 (Cystatin C) | eGFR using cystatin C or combined equation |
| Cockcroft-Gault (CrCl) | Drug dosing using creatinine clearance |
| Corrected Calcium | Adjust calcium for albumin |
| Corrected Sodium | Adjust sodium in hyperglycemia |
| Anion Gap | Metabolic acidosis assessment |
| Winters Formula | Expected pCO2 in metabolic acidosis |
| A-a Gradient | Oxygenation and V/Q evaluation |
| Friedewald LDL | Estimate LDL-C from standard lipids |
| BMI | Body mass index classification |
