A modified Gamblegram for the visual representation of acid-base disorders according to the Stewart-Figge approach.
Anion gap
Hypoalbuminemia
Quantitative acid-base
Strong ion difference
Unmeasured ions
Journal
Journal of critical care
ISSN: 1557-8615
Titre abrégé: J Crit Care
Pays: United States
ID NLM: 8610642
Informations de publication
Date de publication:
02 2024
02 2024
Historique:
received:
28
10
2023
revised:
08
11
2023
accepted:
10
11
2023
medline:
17
12
2023
pubmed:
24
11
2023
entrez:
23
11
2023
Statut:
ppublish
Résumé
The Gamblegram consists of two bars, each of which represents the sum of the charges of individual positively and negatively charged ions and is commonly used for visualizing changes in acid-base and electrolyte charges. However, according to the Stewart-Figge theory, the metabolic independent acid-base variables include the strong ion difference ([SID]) and the total concentrations of weak acids (albumin and inorganic phosphate), which are not shown in the conventional Gamblegram. Thus, the Gamblegram in its current form is unsuitable for visualizing acid-base perturbations using the Stewart-Figge approach. To overcome this problem the following modifications are proposed: 1) The positive bar is represented exclusively by strong ion difference ([SID]) 2) The negative bar is comprised of [HCO
Identifiants
pubmed: 37995612
pii: S0883-9441(23)00219-8
doi: 10.1016/j.jcrc.2023.154470
pii:
doi:
Substances chimiques
Electrolytes
0
Phosphates
0
Albumins
0
Types de publication
Letter
Langues
eng
Sous-ensembles de citation
IM
Pagination
154470Informations de copyright
Copyright © 2023. Published by Elsevier Inc.
Déclaration de conflit d'intérêts
Declaration of Competing Interest None.