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Thursday, November 20, 2008
  
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   Anion Gap


  • It is the sum of unmeasured anions in the serum (phosphates, sulfates, ketons, proteins,organic acids) determined by subtracting the sum of measured anions: (Na + K) - (HCO3 + Cl)

  • Serum

  • 10-15 mEq/L or 10-15 µmol/L

  • To distinguish the causes of metabolic acidosis

  • Hypernatremia
  • Hyperosmolar Coma
  • Hypocalcemia
  • Hypomagnesemia
  • Ketoacidosis
  • Lactic acidosis
  • Starvation

  • Hypercalcemia
  • Hypermagnesemia
  • Hypoalbuminemia
  • Hyponatremia
  • Multiple myeloma

  • Dehydration
  • Ingestion of licorice
  • Ethylene glycol
  • Methanol
  • Paraldehyde
  • Salicylates
  • Medications

 
 


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