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Acid–Base Calculator (ABG)
Enter ABG + electrolytes. Outputs primary process, expected compensation, and anion gap (albumin-corrected).

Primary Process

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Expected Compensation

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Anion Gap

—
—

Mixed Disorder?

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Compensation Details

Scenario Rule Expected Measured Match?
Metabolic Acidosis Winter’s: PaCO₂ = 1.5×HCO₃ + 8 ± 2 — — —
Metabolic Alkalosis PaCO₂ = 0.7×HCO₃ + 20 ± 5 — — —
Resp Acidosis (acute) HCO₃ = 24 + 1 × (ΔPaCO₂/10) — — —
Resp Acidosis (chronic) HCO₃ = 24 + 3.5 × (ΔPaCO₂/10) — — —
Resp Alkalosis (acute) HCO₃ = 24 − 2 × (ΔPaCO₂/10) — — —
Resp Alkalosis (chronic) HCO₃ = 24 − 5 × (ΔPaCO₂/10) — — —

ΔAG / ΔHCO₃⁻ (Delta–Delta)

ΔAGΔHCO₃⁻Ratio (ΔAG/ΔHCO₃⁻)Interpretation
— — — —
Rule of thumb: ≈1 → pure AG metabolic acidosis; <1 → additional non-gap metabolic acidosis; >2 → additional metabolic alkalosis.
Notes. Expected compensation is physiologic, not “normalization.” Deviation outside the expected range suggests a mixed disorder. Albumin correction uses 2.5 mEq/L per 1 g/dL albumin below 4.0.
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