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🧪 Albumin-Corrected Anion Gap

UseAvoid missing a high-anion-gap acidosis when albumin is low.

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SourceFigge J, et al. Crit Care Med 1998

Runs locally in your browser (no PHI uploaded). For licensed clinicians — not a substitute for clinical judgement.
Stored on this device for revisit reminders

This-shift next steps

After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.

Score + version; reference only — not a substitute for care · no HIS write

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Methodology · worked example, guidelines & full notes
Clinical takeaway

Each 1 g/dL fall in albumin lowers AG by ~2.5.

When to use

Avoid missing a high-anion-gap acidosis when albumin is low.

How it works

Corrected AG = AG + 2.5 × (4.0 − albumin g/dL). Reference ~8–12 mmol/L.

Key points

  • Each 1 g/dL fall in albumin lowers AG by ~2.5.
  • Hypoalbuminaemia can mask a metabolic acidosis.
  • Pair with the delta ratio for mixed disorders.

References

Worked calculation

The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.

Measured anion gap10 mmol/L
Albumin2.0 g/dL

→Corrected AG15.0mmol/L

  • Reference:~8–12 mmol/L
  • Formula:AG + 2.5 × (4.0 − albumin)
Verification & sources · governance
FAQ

Frequently asked questions

What are the limits and cautions when using Albumin-Corrected Anion Gap?
For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
Does Albumin-Corrected Anion Gap upload patient data? Where is it calculated?
Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
How is Albumin-Corrected Anion Gap calculated in practice? Can you show a worked example?
Inputs: Measured anion gap 10 mmol/L, Albumin 2.0 g/dL → Result: Corrected AG 15.0 mmol/L(Reference: ~8–12 mmol/L, Formula: AG + 2.5 × (4.0 − albumin))
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