Calculating Plasma Osmolality and Osmolal Gap Calculated Osmolality = 2 x Na + Glucose/18 + BUN/2.8 + EtOH/4.6 Osmolal Gap = Calculated Osmolality - Measured Osmolality Causes of Elevated Osmolal Gap (>10): - Toxic Alcohols (Ethylene Glycol, Methanol, etc) - Isopropyl Alcohol - Mannitol - Acetone (ketoacidosis) #Osmolality #Osmolal #Gap #Osmolarity #Calculation #Diagnosis #Toxicology