The presence of an anion gap in a diabetic patient, especially if associated with evidence of compromised renal function, should prompt clinicians to consider metformin as a contributing factor. This consideration is especially important in patients with severe anion gaps associated with lactic acidosis out of proportion to the patient's clinical presentation.

The presence of acid-base disturbances, especially metabolic acidosis may negatively affect the outcome of critically ill patients. Lactic acidosis is the most frequent etiology and has largest impact on the prognosis. Since lactate measurement might not have always been available at bedside, it had been regarded as one of the unmeasured anions. Therefore, anion gap and strong ion gap has been ...

In this paper, undoped TiO2 and Ag-Nd-codoped TiO2 nanocomposites with different molar ratios of dopants were synthesized by the sol-gel method using starch as a natural additive. Structures were investigated by FT-IR and UV–Vis spectroscopy, SEM, and XRD methods. Moreover, the direct band gap was calculated by Tauc's approach. Furthermore, photocatalytic activity of all s...

Background Lactate measurement is the key component in septic shock identification and resuscitation. However, point-of-care lactate testing is not widely used due to the lack of access to nearby test equipment. Biomarkers such as serum lactate, anion gap (AG), and base excess (BE) are used in determining shock in patients with seemingly normal vital signs. Purpose We aimed to determine if th...

In the title complex, [Ag(ClO(4))(CH(3)OH)(C(18)H(15)P)(2)], the angles around the central Ag(+) ion indicate that it is in a distorted tetrahedral coordination. The coordination sphere of silver is formed by two P atoms of two triphenyl-phosphine ligands, one O atom of a perchlorate anion and one O atom of a methanol mol-ecule. The crystal structure is stablized by a bifurcated inter-molecular...

The title compound, [Ag(C(18)H(27)P)(2)]NO(3), is a mononuclear salt species in which the Ag atom is coordinated by two phosphine ligands, forming a cation, with the nitrate as the counter-anion, weakly inter-acting with the Ag atom, resulting in Ag⋯O distances of 2.602 (6) and 2.679 (6) Å. The cationic silver-phosphine complex has a non-linear geometry in which the P-Ag-P angle is 154.662 (19)...

The workup of the emergency patient with a raised anion gap metabolic acidosis includes assessment of the components of “MUDPILES” (methanol; uremia; diabetic ketoacidosis; paraldehyde; isoniazid, iron or inborn errors of metabolism; lactic acid; ethylene glycol; salicylates). This approach is usually sufficient for the majority of cases in the emergency department; however, there are many othe...

The Ag atom in the title compound, [Ag(C(13)H(10)N(2))(2)]NO(3), shows an approximately linear coordination [N-Ag-N 162.6 (4)°]. The coordination geometry is distorted towards square-planar owing to two long Ag⋯O inter-actions [Ag⋯O = 2.634 (15) and 2.861 (13) Å]. In the crystal structure, the Ag atom lies on a special position of 2 site symmetry; the nitrate anion is disordered about the speci...

BACKGROUND Clinicians calculate the anion gap (AG) and the strong ion difference (SID) to make acid-base diagnoses. The technology used is assumed to have limited impact. The authors hypothesized that different measurement technologies markedly affect AG and SID values. METHODS SID and AG were calculated using values from the point-of-care blood gas and electrolyte analyzer and the central ho...