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Anion gap

Compute the serum anion gap from sodium, chloride, and bicarbonate, with or without potassium, using the Emmett–Narins 1977 formulas. formula is required.

Also searched as

  • anion gap
  • serum anion gap
  • Na Cl HCO3 gap
  • anion gap with potassium
  • Emmett Narins anion gap
  • AG without K
  • AG with K

LIVE $0.005 USDC GET /api/calc/anion_gap

Markdown: /docs/anion-gap.md · Canonical: https://magentlab.com/docs/anion-gap

Not a medical device. Not a diagnosis, dose, or listing recommendation.

What it computes

Compute the serum anion gap from sodium, chloride, and bicarbonate, with or without potassium, using the Emmett–Narins 1977 formulas. formula is required.

When to use

When an agent needs a published anion gap and must not pick with-K vs without-K silently, assign high/low AG, or apply an albumin correction.

When not to use

  • Not a diagnosis. magent does not assign a high or low anion gap.
  • Does not correct for albumin. Figge/Fencl albumin-corrected anion gap is not this tool.
  • Does not compute a delta gap.

Formula

anion_gap_mmol_l = sodium_mmol_l - chloride_mmol_l - bicarbonate_mmol_l

Citation

Title
Clinical use of the anion gap
Authors
Emmett M, Narins RG
Source
Medicine (Baltimore). 1977;56(1):38-54
DOI
10.1097/00005792-197701000-00002

Worked example

Na 140, Cl 104, HCO3 24 without K

Given: bicarbonate_mmol_l=24chloride_mmol_l=104formula=without_ksodium_mmol_l=140

  1. anion_gap = 140 - 104 - 24 = 12.0 mmol/L

Na 140, Cl 104, HCO3 24, K 4.0 with K

Given: bicarbonate_mmol_l=24chloride_mmol_l=104formula=with_kpotassium_mmol_l=4.0sodium_mmol_l=140

  1. anion_gap = 140 + 4.0 - 104 - 24 = 16.0 mmol/L

Try

Opens the live endpoint. Unpaid browser requests show the paywall; agents should send Accept: application/json.

/api/calc/anion_gap?sodium_mmol_l=140&chloride_mmol_l=104&bicarbonate_mmol_l=24&formula=without_k

Full URL: https://api.magentlab.com/api/calc/anion_gap?sodium_mmol_l=140&chloride_mmol_l=104&bicarbonate_mmol_l=24&formula=without_k

Call

Expect HTTP 402 until you retry with PAYMENT-SIGNATURE. Incomplete query params return HTTP 400 before any quote or charge.

curl -i -H "Accept: application/json" "https://api.magentlab.com/api/calc/anion_gap?sodium_mmol_l=140&chloride_mmol_l=104&bicarbonate_mmol_l=24&formula=without_k"

Parameters

Name Type Required Description
sodium_mmol_l number required Serum sodium in mmol/L (110-160).
chloride_mmol_l number required Serum chloride in mmol/L (70-130).
bicarbonate_mmol_l number required Serum bicarbonate in mmol/L (2-45).
potassium_mmol_l number optional Serum potassium in mmol/L (1.5-8.0). Required when formula=with_k. Ignored when formula=without_k.
formula string required · without_k, with_k without_k (Na - Cl - HCO3) or with_k (Na + K - Cl - HCO3). Required; magent does not pick one silently.

Bulk (POST)

POST the same path with a JSON items array. Price is n times the GET unit. Invalid items return HTTP 400 before settlement.

POST /api/calc/anion_gap Max 25 unit_amount * n PREVIEW

  • 1 to 25 items. Each item uses the same keys as the GET query parameters.
  • The first invalid item fails the whole request (index in the 400 JSON). You are not charged.
  • HTTP 200 is {count, path, items}. Each items[i] is the GET 200 body for that row.
  • Catalog misses (empty matches, found=false) stay paid 200s inside that slot.
  • x402 resource URL is this path plus n and body_sha256. Browsers that prefer text/html get the same paywall as GET; Pay retries POST with the same items.

Example request (fixture)

{
  "items": [
    {
      "bicarbonate_mmol_l": "24",
      "chloride_mmol_l": "104",
      "formula": "without_k",
      "sodium_mmol_l": "140"
    },
    {
      "bicarbonate_mmol_l": "24",
      "chloride_mmol_l": "104",
      "formula": "without_k",
      "sodium_mmol_l": "140"
    }
  ]
}

Open bulk paywall →

Opens a two-item fixture on the API host. Unpaid browsers get the same MetaMask paywall as GET; Pay retries POST with those items.

Example 200 (fixture)

{
  "count": 2,
  "path": "/api/calc/anion_gap",
  "items": [
    {
      "disclaimer": "Not a medical device. Deterministic published-formula or published-code output for autonomous agents. A licensed clinician remains responsible for patient care and billing submissions.",
      "citation": {
        "authors": "Emmett M, Narins RG",
        "doi": "10.1097/00005792-197701000-00002",
        "id": "emmett-narins-1977",
        "source": "Medicine (Baltimore). 1977;56(1):38-54",
        "title": "Clinical use of the anion gap"
      },
      "formula": "without_k",
      "formula_expression": "anion_gap_mmol_l = sodium_mmol_l - chloride_mmol_l - bicarbonate_mmol_l",
      "anion_gap_mmol_l": 12.0,
      "bicarbonate_mmol_l": 24.0,
      "chloride_mmol_l": 104.0,
      "sodium_mmol_l": 140.0
    },
    {
      "disclaimer": "Not a medical device. Deterministic published-formula or published-code output for autonomous agents. A licensed clinician remains responsible for patient care and billing submissions.",
      "citation": {
        "authors": "Emmett M, Narins RG",
        "doi": "10.1097/00005792-197701000-00002",
        "id": "emmett-narins-1977",
        "source": "Medicine (Baltimore). 1977;56(1):38-54",
        "title": "Clinical use of the anion gap"
      },
      "formula": "without_k",
      "formula_expression": "anion_gap_mmol_l = sodium_mmol_l - chloride_mmol_l - bicarbonate_mmol_l",
      "anion_gap_mmol_l": 12.0,
      "bicarbonate_mmol_l": 24.0,
      "chloride_mmol_l": 104.0,
      "sodium_mmol_l": 140.0
    }
  ]
}

Response

Field Type Description
formula string without_k or with_k
formula_expression string Exact expression used
sodium_mmol_l number Input sodium in mmol/L
chloride_mmol_l number Input chloride in mmol/L
bicarbonate_mmol_l number Input bicarbonate in mmol/L
potassium_mmol_l number Serum potassium used when formula=with_k. Omitted when formula=without_k.
anion_gap_mmol_l number Anion gap in mmol/L, 1 decimal
citation object Emmett and Narins 1977 citation
disclaimer string Not-a-device notice

Example JSON

Machine form of the same example. Frozen fixture. Not a live lookup.

{
  "disclaimer": "Not a medical device. Deterministic published-formula or published-code output for autonomous agents. A licensed clinician remains responsible for patient care and billing submissions.",
  "citation": {
    "authors": "Emmett M, Narins RG",
    "doi": "10.1097/00005792-197701000-00002",
    "id": "emmett-narins-1977",
    "source": "Medicine (Baltimore). 1977;56(1):38-54",
    "title": "Clinical use of the anion gap"
  },
  "formula": "without_k",
  "formula_expression": "anion_gap_mmol_l = sodium_mmol_l - chloride_mmol_l - bicarbonate_mmol_l",
  "anion_gap_mmol_l": 12.0,
  "bicarbonate_mmol_l": 24.0,
  "chloride_mmol_l": 104.0,
  "sodium_mmol_l": 140.0
}

Client errors (HTTP 400)

Invalid params return 400 without charge. Shared HTTP 402 and 503 meanings: Payments.

HTTP Code When
400 invalid_sodium sodium_mmol_l must be a number from 110 to 160 Returned before settlement; you are not charged.
400 invalid_chloride chloride_mmol_l must be a number from 70 to 130. Returned before settlement; you are not charged.
400 invalid_bicarbonate bicarbonate_mmol_l must be a number from 2 to 45. Returned before settlement; you are not charged.
400 invalid_potassium potassium_mmol_l must be a number from 1.5 to 8.0. Returned before settlement; you are not charged.
400 invalid_anion_gap_formula formula must be without_k or with_k. Returned before settlement; you are not charged.
400 invalid_items POST body must be a JSON object with only an items array Returned before settlement; you are not charged.
400 invalid_item_count items must be an array of 1 to 25 objects Returned before settlement; you are not charged.
400 invalid_item each items entry must be a JSON object Returned before settlement; you are not charged.

Related tools

  • Winters' formula — Compute expected arterial PCO2 in metabolic acidosis from plasma bicarbonate using the Albert–Winters 1967 formula.
  • Serum osmolality — Compute Worthley calculated serum osmolality from sodium, glucose, and BUN, plus an optional osmolar gap when a measured osm is supplied.

Payment

Required query parameters must be present and valid. Invalid params return HTTP 400 JSON before settlement. magent does not charge. Fix the params, then request a new 402 quote for that complete URL. Catalog misses (empty matches, found=false) are valid paid 200s. Unpaid valid requests return HTTP 402 with a base64 PAYMENT-REQUIRED header. HTTP 503 is not a new quote: retry the same PAYMENT-SIGNATURE. Full handshake and shared payment errors: Payments. Stdio MCP: /docs/mcp.

Guarantees

  • Invalid query parameters return HTTP 400 before settlement. You are not charged.
  • Settlement finishes before the tool executes (paymentFlow upfront). Uncertain or failed settlement fails closed (HTTP 503). Retry the same PAYMENT-SIGNATURE.
  • HTTP 402 is unpaid only. Do not sign a second authorization because of a 503.
  • Execution is timeout-bounded and concurrency-capped.
  • Calculator inputs are stored encrypted for allowlisted operators (Magent Console). They are not in public logs, SSH lookups, catalog, or rollups. Request logs store path without query.