Electrolyte Balance Calculator — Anion Gap & Serum Electrolytes

Electrolyte Balance Calculator

Evaluate serum electrolytes (Na, K, Cl, HCO₃) and calculate anion gap. Identify imbalances and compare with clinical reference ranges.

Step 1: Enter Electrolyte Values (mmol/L)

4.0
102
24

Anion Gap Formula

AG = Na – (Cl + HCO₃) (normal 8–12 mmol/L)
(Potassium is not included in the classic AG, but used for balance)

Step 2: Clinical Options

Common Imbalances

• Hyponatremia: Na <135
• Hyperkalemia: K >5.0
• High AG acidosis: AG >12
• Low AG: AG <8 (consider lab error or hypoalbuminemia)

Electrolyte & Anion Gap Results

Summary
Panel Comparison
Formula & Ranges

Anion Gap (AG)

10.2
Normal (8–12) • Na/K ratio: 35
Sodium (Na)
140 mmol/L
Potassium (K)
4.0 mmol/L
Chloride (Cl)
102 mmol/L
Bicarbonate (HCO₃)
24 mmol/L

Electrolyte Panels Comparison

Panel / Condition Na (mmol/L) K (mmol/L) Cl (mmol/L) HCO₃ (mmol/L) Anion Gap

Anion Gap & Electrolyte Formulas

Anion Gap = Na – (Cl + HCO₃)

Normal range: 8–12 mmol/L (without K)
• High AG (>12) : metabolic acidosis (lactic, ketoacidosis, toxins)
• Normal AG : diarrhea, renal tubular acidosis
• Low AG (<8) : hypoalbuminemia, lab error, myeloma

Electrolyte normal ranges (adult)

Sodium: 135–145 | Potassium: 3.5–5.0 | Chloride: 98–108 | Bicarbonate: 22–29

Na/K ratio: normally ~30–35; deviations may indicate pathology.

Example Calculation

Typical normal values

Na=140, K=4.0, Cl=102, HCO₃=24
AG = 140 – (102+24) = 14 → borderline high? Wait, 140-126=14. Normal AG 8-12, so 14 is slightly elevated. In practice, albumin adjustment needed. This tool uses classic AG.

Interpretation: Always consider clinical context.

Need help interpreting electrolyte results?

Our team of medical professionals can provide context and guidance for abnormal electrolyte values. Always consult a qualified healthcare provider for diagnosis.

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