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Anion Gap
Aka: Anion Gap- Definition
- Difference between calculated serum anions and cations
- Calculation
- AG = Serum Sodium - Serum Chloride - Serum Bicarbonate
- Interpretation
- Normal Anion Gap: 12 +/- 2 meq/L
- Causes: Low Anion Gap
- Paraproteinemia (Multiple Myeloma)
- Spurious Hyperchloremia (Bromide toxicity)
- Hyponatremia
- Hypermagnesemia
- Hypoalbuminemia
- Anion Gap decreases 2.5 meq per 1 g/dl Albumin drop
- Causes: High Anion Gap
- Metabolic Acidosis (without increased Serum Chloride)
- References
- Bakerman (1984) ABCs of Lab Data, ILD, Greenville, NC
- Ghosh (2000) Fed Pract p. 23-33