anion gap การใช้
- The metabolic acidosis caused by RTA is a normal anion gap acidosis.
- Large anion gap acidosis is usually present during the initial stage of poisoning.
- The term " anion gap " without qualification usually implies serum anion gap.
- The term " anion gap " without qualification usually implies serum anion gap.
- If the gap is greater than normal, then high anion gap metabolic acidosis is diagnosed.
- Ifosfamide may also cause a normal anion gap acidosis, specifically renal tubular acidosis type 2.
- Anion gap can be classified as either high, normal or, in rare cases, low.
- An anion gap is usually considered to be high if it is over 11 mEq / L.
- The calculated value of the anion gap should always be adjusted for variations in the serum albumin concentration.
- More rarely, high anion gap metabolic acidosis may be caused by ingesting methanol or overdosing on aspirin.
- High anion gap metabolic acidosis is caused generally by the body producing too much acid or not producing enough bicarbonate.
- For a list of the common causes of this change in bicarbonate or chloride, see normal anion gap acidosis.
- These " unmeasured " ions are mostly anions, which is why the value is called the " anion gap ."
- Laboratory errors need to be ruled out whenever anion gap calculations lead to results that do not fit the clinical picture.
- The anion gap is sometimes reduced in multiple myeloma, where there is an increase in plasma IgG ( paraproteinaemia ).
- Hypoalbuminemia can mask a mild elevation of the anion gap, resulting in failure to detect an accumulation of unmeasured anions.
- And reflects either an increase in the anion gap or a decrease in the bicarbonate concentration ( [ HCO3?] ).
- The anion gap can be spuriously normal in sampling errors of the sodium level, e . g . in extreme hypertriglyceridemia.
- Loss of bicarbonate-rich pancreatic fluid via a pancreatic fistula can result in a hyperchloraemic or normal anion gap metabolic acidosis.
- In normal health there are more measurable cations compared to measurable anions in the serum; therefore, the anion gap is usually positive.
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