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Anion gap - calculated by?
(sodium + potassium) - (bicarbonate + chloride)
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A normal anion gap?
8-14 mmol/L
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Useful to consider when?
Metabolic acidosis - normal anion gap / raised
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Causes of a normal anion gap or hyperchloraemic metabolic acidosis (5)
- - gastrointestinal bicarbonate loss: diarrhoea, ureterosigmoidostomy, fistula
- - renal tubular acidosis
- - drugs: e.g. acetazolamide
- - ammonium chloride injection
- - Addison's disease
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Causes of a raised anion gap metabolic acidosis? (4)
- - lactate: shock, hypoxia
- - ketones: diabetic ketoacidosis, alcohol
- - urate: renal failure
- - acid poisoning: salicylates, methanol
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