Educational use only. Not a substitute for clinical judgment. Always verify independently.

Anion Gap + Delta-Delta

Name: Anion Gap + Delta-Delta
Published: 2026-04-20

Calculate corrected AG, delta ratio, and interpret the acid-base disturbance.

Na+

mEq/L

Cl-

mEq/L

HCO3-

mEq/L

Albumin

g/dL

Corrected AG

Delta ratio

1.4

Pure HAGMA

Delta ratio 1.4 (1–2): the bicarbonate drop is proportional to the AG elevation. This is a pure high–anion gap metabolic acidosis. Consider: DKA, lactic acidosis, uremia, toxic ingestion (MUDPILES).

ΔAG (corrected AG − 12)13

ΔHCO3 (24 − measured)9

Delta ratio (ΔAG / ΔHCO3)1.4

References

01UpToDate: Anion gap metabolic acidosis

Updated 2026-04-20Report an error

Osmolar Gap Calculator Corrected Labs

Anion Gap + Delta-Delta

References

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