nonanion gap metabolic acidosis NAGMA causes


  • USED CARP
  • ureterostomy
  • small bowel fistula: lose bicarb
  • extra chloride
  • diarrhea: lose bicarb
  • carbonic anhydrase inhibitors: causes bicarb diuresis
    • acetazolamide mostly used for glaucoma
    • topiramate: used for seizures and migraines
  • adrenal insufficiency
  • RTA
  • pancreatic fistula
  • propylene glycol: ativan, diazepam preparations

Other medications can cause NAGAM from interstitial nephritis or RTA: