Osmolal or Osmolar Gap: Difference between revisions

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**Normal = (-)14-10 mOsm/L
**Normal = (-)14-10 mOsm/L


==DDX==
==Differential Diagnosis==
#Alcohols
*Alcohols
##Methanol
**Methanol
##Ethylene glycol
**Ethylene glycol
##Isopropyl
**Isopropyl
#Sugar
*Sugar
##Glycerol
**Glycerol
##[[Mannitol]]
**[[Mannitol]]
#Ketones
*Ketones
##Acetone
**Acetone


==See Also==
==See Also==

Revision as of 01:53, 7 June 2015

Definitions

  • Osmolarity = the total number of particles in solution per liter
  • Osmolality = the number of particles per kilogram of solvent

Calculations

Calculated Osm

Calculated Osm = 2 x Na + (glu/18) + (BUN/2.8) + (ethanol/4.6) + (methanol/2.6) + (ethylene glycol/5) + (acetone/5.5) + (isopropanol/5.9)

  • Normal = 275-295

Osmolal Gap

  • Osmolal Gap = measured osm - calculated osm
    • Normal = (-)14-10 mOsm/L

Differential Diagnosis

  • Alcohols
    • Methanol
    • Ethylene glycol
    • Isopropyl
  • Sugar
  • Ketones
    • Acetone

See Also