Anion gap (with albumin correction)

Serum anion gap, albumin-corrected gap, and delta-delta ratio.

Previewv0.1.0 · Pending clinical review

Inputs

0 of 3
mEq/L
mEq/L
mEq/L
Optional, for correction
When to use
  • Any metabolic acidosis.
Pearls and pitfalls
  • Normal range depends on your lab's analyzer; many use 3 to 11 mEq/L today.
  • Each 1 g/dL fall in albumin lowers the gap by about 2.5 mEq/L.
Why use

Shows corrected gap and delta ratio in one place.

AG=Na−(Cl+HCO3)
AGc=AG+2.5×(4−Alb)
Δratio=AG−1224−HCO3
where
Na, Cl, HCO3
Serum electrolytes, mEq/L
Alb
Albumin, g/dL
AGc
Albumin-corrected anion gap

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