Marble Anion Gap

Moreover as confirmed in this pa tient diabetic ketoacidosis may present with pure hy perchloremic acidosis.

Marble anion gap. Thus the finding of a normal anion gap per se may not exclude the presence of diabetic ketoacidosis. Killu and sarani 2016 fundamental critical care support p. 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. Recent evidence 3 indicates that diabetic ketoacido sis should no longer be viewed simply as wide anion gap metabolic acidosis.

Anion gap decreases 2 5 meq per 1 g dl albumin drop. Ever wondered what on earth the anion gap was all about. 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.

Abnormal anion gap is a relatively common occurrence among hospitalized patients with increased anion gap being far more common than reduced anion gap. I know there are a couple of calculations and wanted to know is one calculation better than the other. Metabolic acidosis with high anion gap without increased serum chloride severe alkalemia albumin become negatively charged references.