High anion gap metabolic acidosis with normal anion gap metabolic acidosis critical pathways

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Approach

metabolic acidosis critical pathways

Anion gap

High

Normal

Low

Delta-delta (ΔΔ) value

Greater than 2

Between 1 and 2

Less than 1

Action Items

• Consider the coexistence of high anion gap metabolic acidosis and normal anion gap metabolic acidosis.