Marble Anion Gap

Killu and sarani 2016 fundamental critical care support p.

Marble anion gap.

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. An increased anion gap 16 is observed in many inborn errors of metabolism and in most other conditions producing metabolic acidosis in the neonate. I know there are a couple of calculations and wanted to know is one calculation better than the other. In contrast the differential diagnosis of metabolic acidosis with a normal anion gap is essentially limited to two conditions diarrhea and renal tubular acidosis.

I was just tasked with adding anion gap to our panels. But when you ve got yourself a metabolic acidosis this is a good place to start. Thus the finding of a normal anion gap per se may not exclude the presence of diabetic ketoacidosis. Recent evidence 3 indicates that diabetic ketoacido sis should no longer be viewed simply as wide anion gap metabolic acidosis.

Na cl hc03 anion gap or na k cl hco3 anion gap. Moreover as confirmed in this pa tient diabetic ketoacidosis may present with pure hy perchloremic acidosis. Metabolic acidosis with high anion gap without increased serum chloride severe alkalemia albumin become negatively charged references.