This simulator demonstrates how adjusting serum sodium, chloride, and bicarbonate changes the calculated anion gap, and how that result classifies a case of metabolic acidosis as either a high anion gap or a normal anion gap process.
Adjust the sodium, chloride, and bicarbonate values to see the anion gap calculated in real time, and observe how different combinations point toward accumulating unmeasured acids versus direct bicarbonate loss.
Sliders for serum sodium, chloride, and bicarbonate let you build sample lab panels and instantly see the resulting anion gap and its diagnostic classification.
Because albumin is a major unmeasured anion, a patient with critically low albumin can have a dangerously elevated true anion gap that appears deceptively normal on the standard calculation.
This simulator demonstrates how adjusting serum sodium, chloride, and bicarbonate changes the calculated anion gap, and how that result classifies a case of metabolic acidosis as either a high anion gap or a normal anion gap process.
This simulator demonstrates how adjusting serum sodium, chloride, and bicarbonate changes the calculated anion gap, and how that result classifies a case of metabolic acidosis as either a high anion gap or a normal anion gap process.
Adjust the sodium, chloride, and bicarbonate values to see the anion gap calculated in real time, and observe how different combinations point toward accumulating unmeasured acids versus direct bicarbonate loss.
Because albumin is a major unmeasured anion, a patient with critically low albumin can have a dangerously elevated true anion gap that appears deceptively normal on the standard calculation.