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DEDE

anion gap reference ranges and to use K+ or not

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I was just tasked with adding anion gap to our panels.  I know there are a couple of calculations and wanted to know is one calculation better than the other?

Na-CL-HC03= anion gap or Na +K - CL- HCO3= anion gap.  I know that the reference ranges will be a little different between the 2 calculations, also are there any correction factors based on the albumin or phosphate results? 

Or is it just up to the physicians on which on to use and add a notation to the results about the impact that a low albumin could have on the results?

Thanks

 

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