Question 1

what is high anion gap metabolic acidosis?

Accepted Answer

Metabolic acidosis: A high anion gap acidosis, (h), is an acidosis with a low carbon dioxide (c) and a normal chloride. This low c indicates the presence of an organic acid, such as lactic acid. H is seen in sepsis and diabetic ketoacidosis, among other conditions. It is a serious condition that requires immediate medical therapy to resolve it, as it is often life-threatening.

Question 2

what does this mean "high anion gap metabolic acidosis"?

Accepted Answer

Anion gap: The anion gap is a calculation in which you subtract the sum of the negative ions in the blood (chloride, bicarbonate) from the sum of the positive ions (sodium, potassium). Often potassium is left out because it has only a very small effect. A normal gap is < 11. If the result of the subtraction is > 11 you have a high anion gap acidosis, which means some other acid is causing acidosis (ketoacids.

Question 3

is normal anion gap metabolic acidosis expected in acidosis caused by acetezolomide - is normal anion gap less severe than high or low gap? thank you?

Accepted Answer

: Yes it can occur. all forms of acidosis can be mild, moderate or severe and one is not 'better' than the other. Take care

Question 4

why the anion gap is not increase in metabolic acidosis due to ingestion of nh4cl or carbonic?

Accepted Answer

RTA: Normal anion gap metabolic acidosis usually results from either the net retention of HCl or its equivalent (NH4Cl) or the net loss of sodium bicarbonate

Question 5

can you have renal tubular acidosis with an elevated serum anion gap?

Accepted Answer

Possible: The textbook answer is no.  Generally, RTA presents with a normal anion gap.  However, if concurrent conditions of dyselectrolytemias exist the gap may be elevated.

Question 6

symptoms listed metabolic lab anion gap 6 bun drop 17 to 15  high calcium and co2 heft 110 weak and pain in joints help?

Accepted Answer

Need to examine: It is not feasible to provide a meaningful opinion without taking additional history, physical examination and may be some tests. It would be prudent to see your doctor and discuss your health issues, including the lab results. All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Talk to the doctor who ordered the tests.

Question 7

i just had a basic metabolic panel done by my cardiologist who prescribed me lasix due to edema and chest pain. everything normal except my anion gap was flagged as high at 16. normal levels lab value is 5-13. is this concerning?

Accepted Answer

: Edema and chest pain at age 54 are concerning.  The anion gap is a technical issue which your doctor can explain (there are many possible reasons why).  I think your concentrating on the wrong issue

Question 8

aion gap calculation results.  sodium 140, chloride 109, bicarbonate 23, albumin 4.0.=6.9 meq/l. non anion gap acidosis. what does it mean, concern?

Accepted Answer

Need more info: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Talk to the doctor who ordered the tests. Having said that, the data you presented does not show anion gap. There is no information about acidosis.
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Question 9

my anion gap is low on my comprehensive metabolic lab panel today.  what does that mean?

Accepted Answer

Need more info: All laboratory results need to be interpreted in the clinical context and the doctor who ordered the tests is usually in the best position to do that. Having said that, It may due to low sodium or high serum proteins. You should discuss it with the doctor who ordered the test. You may consult this site for info.

http://www.medfriendly.com/anion-gap.html

Question 10

is the anion gap test normally part of the comprehensive metabolic panel? i had many blood tests and i don't remember the anion gap being on them.

Accepted Answer

It's there: It's calculated from the sodium, potassium, bicarb and chloride. In this case, the lab did it to be helpful to the physician.

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Doctor answers about:

High anion gap metabolic acidosis

A member asked:

What is high anion gap metabolic acidosis?

A member asked:

What does this mean "high anion gap metabolic acidosis"?

A member asked:

Is normal anion gap metabolic acidosis expected in acidosis caused by acetezolomide - is normal anion gap less severe than high or low gap? thank you?

A member asked:

Why the anion gap is not increase in metabolic acidosis due to ingestion of nh4cl or carbonic?

A member asked:

Can you have renal tubular acidosis with an elevated serum anion gap?

A member asked:

Symptoms listed metabolic lab anion gap 6 bun drop 17 to 15 high calcium and co2 heft 110 weak and pain in joints help?

A member asked:

I just had a basic metabolic panel done by my cardiologist who prescribed me lasix due to edema and chest pain. everything normal except my anion gap was flagged as high at 16. normal levels lab value is 5-13. is this concerning?

A member asked:

Aion gap calculation results. sodium 140, chloride 109, bicarbonate 23, albumin 4.0.=6.9 meq/l. non anion gap acidosis. what does it mean, concern?

A member asked:

My anion gap is low on my comprehensive metabolic lab panel today. what does that mean?

A member asked:

Is the anion gap test normally part of the comprehensive metabolic panel? i had many blood tests and i don't remember the anion gap being on them.

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