Anion Gap Calculator

Anion Gap Calculator for Nephrology. Use the result to help categorize metabolic acidosis and guide evaluation for lactate, ketones, renal failure, toxins, and mixed acid-base disorders.

How this calculator works

The anion gap estimates unmeasured anions from routinely measured electrolytes, commonly sodium minus chloride and bicarbonate.

Inputs used

  • Sodium
  • Chloride
  • Bicarbonate
  • Albumin when correcting the gap

Clinical interpretation

Use the result to help categorize metabolic acidosis and guide evaluation for lactate, ketones, renal failure, toxins, and mixed acid-base disorders.

Limitations and safety notes

Albumin, lab method, and mixed disorders affect interpretation. Correct for hypoalbuminemia when clinically relevant.

References

  • Kraut JA, Madias NE. Serum anion gap: its uses and limitations in clinical medicine. Clin J Am Soc Nephrol. 2007.

Editorial review and citation methodology

Reviewed by the Quick Medical Calculator Editorial Team. Last reviewed: June 19, 2026. The review checks calculator inputs, intended population, interpretation, limitations, and source alignment.

  • Prefer original validation studies for scoring systems and prediction tools.
  • Use current specialty society guidance, transplant allocation policy, public health guidance, or regulator resources when they govern clinical use.
  • Include limitations and safety notes when a calculator is population-specific, context-dependent, or unsuitable as a standalone decision tool.