iii. Anion gap vs. Non-anion gap a. High Anion Gap Metabolic Alkaloses 1.  + charges on plasma proteins from  pH 2. increased lactate production 3. decreased lactate metabolism (e.g. in liver failure with hyperalimentation) b. Normal Anion Gap Metabolic Alkaloses 1.  Ca++ 2.  Mg++ 3. paraproteins 4. lithium