ASNRT — Arab Society of Nephrology and Renal Transplantation

Urine anion gap (urinary NH4⁺ surrogate) Calculator

Indirect clue to urinary ammonium in normal anion gap acidosis

When to use it

Use to differentiate renal tubular acidosis from GI bicarbonate losses in non-anion-gap metabolic acidosis.

Category

Acute Kidney Injury (AKI) Workup

References

  • Batlle DC et al. The use of the urinary anion gap in the diagnosis of hyperchloremic metabolic acidosis. N Engl J Med. 1988;318:594-9. PMID: 3344005
  • Kamel KS et al. Use of Urine Electrolytes and Urine Osmolality in the Clinical Diagnosis of Fluid, Electrolytes, and Acid-Base Disorders. Kidney Int Rep. 2021;6:1211-1224. PMID: 34013099

About NephroMind

This calculator is part of NephroMind, a free clinical decision-aid platform from the Arab Society of Nephrology and Renal Transplantation (ASNRT) — over 128 bedside nephrology calculators plus a renal drug-dosing database, coded by a practicing transplant nephrologist.

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