Letter A

Anion gap

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A measurement of the interval between the sum of 'routinely measured' cations minus the sum of the 'routinely measured' anions in the blood.

The anion gap = (Na+ + K+) - (Cl- + HCO3-) where Na- is sodium, K+ is potassium, Cl- is chloride, and HCO3- is bicarbonate.

The anion gap can be normal, high, or low.

A high anion gap indicated metabolic acidosis, the increased acidity of the blood due to metabolic processes.

A low anion gap is relatively rare but may occur from the presence of abnormal positively charged proteins, as in multiple myeloma.

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