- Joined
- Jun 1, 2009
- Messages
- 432
- Reaction score
- 6
Na 135
Cl 92
Bicarb 12
Delta delta = (31 - 12) / (24 - 12) = 1.58. Since delta delta is between 1 to 2, there is a pure high anion gap metabolic acidosis only. (superimposed metabolic alkalosis only for delta delta > 2)
Corrected bicarb method: 31 - 12 + 12 = 31. Since corrected bicarb is > 30, the patient has superimposed underlying metabolic alkalosis.
Why is the second one right and the first one wrong?
Cl 92
Bicarb 12
Delta delta = (31 - 12) / (24 - 12) = 1.58. Since delta delta is between 1 to 2, there is a pure high anion gap metabolic acidosis only. (superimposed metabolic alkalosis only for delta delta > 2)
Corrected bicarb method: 31 - 12 + 12 = 31. Since corrected bicarb is > 30, the patient has superimposed underlying metabolic alkalosis.
Why is the second one right and the first one wrong?