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Are there instances when you include the serum potassium level when calculating a serum anion gap?

3 Answers
Mednet MemberInvited Expert
Nephrology · Rush Medical College
Answered on

No, I don’t. The problem with the AG, to start with, is there is no accepted normal AG. (8-14) UTD says to find out what is normal for your lab, like that is likely. I just use 10… anyway, then to make it higher by adding k to account for the k that may change it by 1 or 2, makes no sense to me when...

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Mednet MemberInvited Expert
Nephrology · University of California, Los Angeles
Answered on

The serum potassium level should be used to calculate the serum anion gap if the laboratory reports the anion gap using the formula (Na⁺ + K⁺) − (Cl⁻ + HCO₃⁻). What matters most is that the formula matches the reference range being used by the laboratory.

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Mednet MemberInvited Expert
Nephrology · University of Mississippi Medical Center
Answered on

Only include it if the laboratory you are using does so. Agree with Dr. @Dr. First Last.

I use 12 as the upper normal for AG if K is not included. Including K would increase the upper normal AG by the normal serum K, around 4 usually.

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