Calculation
The osmol gap is typically calculated as:
- OG = measured serum osmolality − calculated osmolality
Calculated osmolality = 2 x + +
In non-SI laboratory units: Calculated osmolality = 2 x + / 18 + / 2.8 (NB: divisor 18 respectively 2.8 to convert mg/dL into mmol/L)
A normal osmol gap is < 10 mOsm/kg .
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