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What is non-anion gap metabolic acidosis (NAGMA)?
Jul 1, 2024 · NAGMA fundamentally represents an imbalance between sodium chloride and sodium bicarbonate. Treatment therefore may involve addition of sodium bicarbonate and/or removal of sodium chloride. The optimal approach depends on volume status, for example:
Nov 3, 2020 · Normal Anion Gap Metabolic Acidosis (NAGMA). HCO3 loss and replaced with Cl- -> anion gap normal. if hyponatraemia is present the plasma [Cl-] may be normal despite the presence of a normal anion gap acidosis -> this could be considered a 'relative hyperchloraemia'.
May 14, 2015 · A less successful (and admittedly less useful) mnemonic exists for non-anion gap metabolic acidoses (NAGMA), which I learned as a resident. It’s “HARDUP”, which stands for the following: H = hyperalimentation (e.g., starting TPN). A = acetazolamide use.
Dec 17, 2019 · NAGMA fundamentally represents an imbalance between sodium chloride and sodium bicarbonate. Treatment therefore may involve addition of sodium bicarbonate and/or removal of sodium chloride. The optimal approach depends on volume status, for example:
Dec 1, 2014 · Definition. In non-anion gap or hyperchloremic metabolic acidosis, a reduction in serum [HCO 3−] is matched by an approximately equivalent increase in the serum chloride concentration resulting in hypobicarbonatemia and hyperchloremia in the absence of an increase in the serum anion gap [4, 5].
- Jeffrey A. Kraut, Ira Kurtz
- 10.1093/ckj/sfu126
- 2015
- Clin Kidney J. 2015 Feb; 8(1): 93-99.
Sep 19, 2019 · Non-Anion Gap Metabolic Acidosis (NAGMA) has a broad differential diagnosis. Often the cause is obvious, but otherwise this leads to a rat's nest of various forms of renal tubular acidosis (RTA). Fortunately, appropriate treatment generally doesn't require immediate diagnosis of the specific cause of the NAGMA.
Jul 22, 2022 · High anion gap metabolic acidosis (HAGMA) is a subtype of acidosis known as metabolic etiology acidosis. The condition's causes depend on the particular subtype, whether it is high anion gap metabolic acidosis or non-anion gap metabolic acidosis (NAGMA).