Marble Anion Gap

Metabolic acidosis with high anion gap without increased serum chloride severe alkalemia albumin become negatively charged references.

Marble anion gap.

Na cl hc03 anion gap or na k cl hco3 anion gap. Ever wondered what on earth the anion gap was all about. A retrospective study of 6868 sets of serum electrolytes among hospitalized patients 3 for example revealed incidences of increased and reduced anion gap to be 37 6 and 2 9 respectively. I was just tasked with adding anion gap to our panels.

In contrast the differential diagnosis of metabolic acidosis with a normal anion gap is essentially limited to two conditions diarrhea and renal tubular acidosis. Recent evidence 3 indicates that diabetic ketoacido sis should no longer be viewed simply as wide anion gap metabolic acidosis. I know there are a couple of calculations and wanted to know is one calculation better than the other. Thus the finding of a normal anion gap per se may not exclude the presence of diabetic ketoacidosis.

Abnormal anion gap is a relatively common occurrence among hospitalized patients with increased anion gap being far more common than reduced anion gap. Anion gap decreases 2 5 meq per 1 g dl albumin drop. Killu and sarani 2016 fundamental critical care support p.