Posted January 2, 20187 yr comment_71989 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
January 3, 20187 yr comment_71999 I believe the use of potassium in the calculation is not common, as the effect of its inclusion is negligible. Scott
January 23, 20187 yr comment_72258 On 1/3/2018 at 8:21 AM, SMILLER said: I believe the use of potassium in the calculation is not common, as the effect of its inclusion is negligible. Scott Scott, do you know the reason why the K result is considered negligible in the anion gap calculation? Is it because the K result is usually a much smaller number in comparison? And if this is the case then when the anion gap is at the border of the range, would the K result not make a difference there, at least numerically, but with questionable clinical relevance?
January 25, 20187 yr comment_72285 I would suppose (after a quick bit of research), that since a K is only going to vary by only 1 or 2 mEQs, that its inclusion makes little clinical difference. That's as long as the reference range is appropriate for whatever calc you are using (such as: 8-16 without K+, and 10-20 with it). Actually now that I think of it, the original omission probably had to do with making the equation a bit easier to do on the fly. I imagine that as people used to do it in their head before the advent of computerized analyzers and reporting systems that now give the anion gap automatically. Scott
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