Anion Gap Calculator — Calculate Serum Anion Gap

Anion Gap Calculator

Calculate the anion gap from serum electrolytes (sodium, chloride, bicarbonate) to assess acid-base disorders and metabolic imbalances.

Step 1: Enter Electrolyte Values

140
102
24
4.0

About Anion Gap

The anion gap is calculated as: Na⁺ – (Cl⁻ + HCO₃⁻). Normal range is 8-16 mEq/L. Including potassium: (Na⁺ + K⁺) – (Cl⁻ + HCO₃⁻).

Step 2: Patient Information

Clinical Significance

Anion gap helps differentiate causes of metabolic acidosis. High anion gap suggests accumulation of unmeasured anions (lactate, ketones, toxins).

Anion Gap Calculation Results

Result Summary
Clinical Interpretation
Reference Values

Calculated Anion Gap

14
Normal anion gap (8-16 mEq/L)
Sodium (Na⁺)
140 mEq/L
Chloride (Cl⁻)
102 mEq/L
Bicarbonate (HCO₃⁻)
24 mEq/L
Potassium (K⁺)
4.0 mEq/L

Clinical Interpretation

Normal Anion Gap Metabolic Acidosis

With an anion gap of 14 mEq/L (normal range: 8-16 mEq/L), this represents a normal anion gap. Consider hyperchloremic metabolic acidosis if acidosis is present.

Common Causes Based on Anion Gap

Anion Gap Level Common Causes Clinical Significance
Normal (8-16 mEq/L) Diarrhea, renal tubular acidosis, ureteral diversions Hyperchloremic metabolic acidosis
High (>16 mEq/L) Lactic acidosis, ketoacidosis, renal failure, toxins Accumulation of unmeasured anions
Low (<8 mEq/L) Hypoalbuminemia, multiple myeloma, lithium toxicity Decreased unmeasured anions or increased unmeasured cations

Reference Ranges & Formulas

Normal Anion Gap
8-16 mEq/L
Without Potassium
Na – (Cl + HCO₃)
With Potassium
(Na + K) – (Cl + HCO₃)
Albumin-Corrected
AG + 2.5 × (4.5 – Alb)

Normal Electrolyte Ranges

Electrolyte Normal Range (mEq/L) Critical Values
Sodium (Na⁺) 135-145 <120 or >160
Potassium (K⁺) 3.5-5.0 <2.5 or >6.5
Chloride (Cl⁻) 98-106 <80 or >115
Bicarbonate (HCO₃⁻) 22-28 <10 or >40

Important Medical Disclaimer

This calculator is for educational purposes only. Always consult a healthcare professional for medical advice, diagnosis, or treatment. Do not use this information to self-diagnose or self-treat medical conditions.

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