Box 2.
Mnemonic for causes of wide anion gap metabolic acidosis
G – glycols (ethylene and propylene)
O – 5-oxoproline (pyroglutamic acid)
L – L-lactate
D – D-lactate
M – methanol and other toxins (ethanol, toluene, paraldehyde)
A – aspirin/salicylates
R – renal failure
K – ketones
Adapted from Berend
et al.
13