3.5.1 Anion Gap Flashcards
Cation Gap is used as a form of quality control for electrolyte measurements
T or F
F
Anion
May be used to distinguish between normochloremic and hyperchloremic
metabolic acidosis
Anion Gap
Normochloremic = Low anion gap
Hyperchloremic = High anion gap
T or F
F
Baligtad
Formulas for Anion Gap:
AG = (Na + K)-(HCO3 + Cl)
AG = Na - (HCO3 + Cl)
T or F
T
The components of routine electrolyte panels
- Na
- K
- HCO3
- Cl
- Mg
Which of the does not belong?
Mg
AG reference values:
With potassium
a. 10-20 mmol/L
b. 7-16 mmol/L
a
AG reference values:
Without potassium
a. 10-20 mmol/L
b. 7-16 mmol/L
b
In Increased AG:
Increased Unmeasured ANIONS includes:
- Methanol
- Uremia
- Diabetic __________
- _____aldehyde
- Inhalants
- Lactic _________
- Ethylene Glycol
- ________
Ketoacidosis
Para-
Acidosis
Salicylate
(MUDPILES)
In Increased AG:
Decreased unmeasured CATIONS
a. Hypercalcemia
b. Hypocalcemia
c. Hyperalbuminemia
d. Hypoalbuminemia
b
Lab error in Increased AG:
Falsely ________ Sodium
OR
Falsely _________ Chloride or Bicarbonate
Increased
Decreased
In Decreased AG:
Decreased unmeasured ANIONS
a. Hypercalcemia
b. Hypocalcemia
c. Hyperalbuminemia
d. Hypoalbuminemia
d
In Decreased AG:
Increased unmeasured CATIONS due to multiple Myelima or Hyperparathyroidism
a. Hypercalcemia
b. Hypocalcemia
c. Hyperalbuminemia
d. Hypoalbuminemia
a
In Decreased AG:
Lab errors:
Falsely _________ Sodium
OR
Falsely __________ chloride
bicarbonate
decreased
increased
Increased Unmeasured ANIONS
a. Increased AG
b. Decreased AG
a
Decreased unmeasured ANIONS
a. Increased AG
b. Decreased AG
b