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Urine anion gap calculator

Urinary electrolyte gap that helps distinguish causes of a normal anion-gap metabolic acidosis.

What this calculator does

Urine anion gap works out urinary electrolyte gap that helps distinguish causes of a normal anion-gap metabolic acidosis. Enter your own figures above and the answer updates as you type: nothing is fixed in the code, so the result reflects exactly the numbers you supply.

The formula this calculator evaluates is printed under the tool and explained below, so you can check the working by hand or reuse it in a spreadsheet.

The formula

FormulaUrine anion gap = (Urine Na + Urine K) − Urine Cl

The inputs explained

FieldWhat to enter
Urine sodium (mEq/L)A number, measured in mEq/L. Starts at 40.
Urine potassium (mEq/L)A number, measured in mEq/L. Starts at 30.
Urine chloride (mEq/L)A number, measured in mEq/L. Starts at 80.

Worked examples

Every figure in the tables below is produced by this page’s own calculator at build time, so the numbers and the tool always agree. Select any row to load that scenario.

How the answer changes with urine sodium

Every other input is held at the calculator’s starting values while urine sodium varies. Select any row to load that scenario into the calculator.

How the answer changes with urine sodium
Urine sodium (mEq/L)Urine anion gapCommonly cited reference rangeReading
20-30.0 mEq/Labout 0 to 10 mEq/L in healthy adultsNegative: suggests high urinary ammonium excretion, more typical of a GI cause such as diarrhoea
30-20.0 mEq/Labout 0 to 10 mEq/L in healthy adultsNegative: suggests high urinary ammonium excretion, more typical of a GI cause such as diarrhoea
40-10.0 mEq/Labout 0 to 10 mEq/L in healthy adultsNegative: suggests high urinary ammonium excretion, more typical of a GI cause such as diarrhoea
6010.0 mEq/Labout 0 to 10 mEq/L in healthy adultsPositive: suggests low urinary ammonium excretion, more typical of a renal cause of acidosis
8030.0 mEq/Labout 0 to 10 mEq/L in healthy adultsPositive: suggests low urinary ammonium excretion, more typical of a renal cause of acidosis
12070.0 mEq/Labout 0 to 10 mEq/L in healthy adultsPositive: suggests low urinary ammonium excretion, more typical of a renal cause of acidosis