ELUCENIA
ELUCENIA
PUBLIC LIBRARY / CALCULATOR

Serum osmolarity and osmolar gap

Calculates plasma osmolarity from sodium, glucose and urea; with measured osmolality, the osmolar gap helps detect toxic alcohols and other unmeasured solutes.

Arithmetic checks are available. Independent clinical review is pending. Inclusion in the catalogue does not constitute clinical validation.

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Check the population, units and version. The result shows the formula or classification; it does not make an automatic treatment decision.

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Method · Limits of application

2 Na+glucose/18+urea/6 or BUN/2.8; ethanol/Purssell 2001 /3.7; tonicity excludes urea

The osmolar gap is a clue, not specific identification of an alcohol. Its value depends on metabolic stage, baseline gap and other solutes; ketoacidosis, renal dysfunction and lactic acidosis can also raise it. The formula, units and measured osmolality must match the source; the result alone neither confirms nor excludes poisoning.

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mEq/L · range 100–200
mg/dL · range 10–2000
mg/dL · range 5–500
mg/dL · range 0–800
mOsm/kg · range 200–500

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Conditions of use

Check the population, units, inclusion and exclusion criteria, and version in the original source. A result alone does not establish a diagnosis, discharge decision or prescription.

Documented parameters

  • Sodium · mEq/L
  • Glucose · mg/dL
  • Urea · mg/dL
  • Serum ethanol · mg/dL
  • Measured osmolality · mOsm/kg

4/4 reference cases checked. Numerical tests are not clinical validation.

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General context — relationship to be defined

A resource for general clinical contexts. This edition does not assign a specific oncological relationship; selecting it for a study requires a justified question, population and purpose.

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