Delta ratio
Anion gap -12/ 24 - HCO3
Expected CO2 in Acidosis
(Winters formula)
(1.5xHCO3)+8
Effect of acidosis on Potassium K
For every 0.1 ↓ in pH, serum K⁺ ↑ by ~0.6 mmol/L (general physiology, not VBG‑specific)
Corrected Sodium:
Measured Na + (Glucose +5/3)
Serum osmolality
Osmolality = 2 x (serum sodium + serum potassium) + glucose + urea
Corrected sodium
=measured sodium + 0.4 x (glucose – 5.5) mmol/L
ie 3 mmol/L sodium to be added for every 10 mmol/L of glucose above 5.5 mmol/L