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KD
Laboratory methods

Kenneth D. Gardner Jr

Research profile. Kenneth D. Gardner Jr is not affiliated with or endorsed by MedMaths.

Renal medicine

Smithline-Gardner Calculated Serum Osmolality Formula

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Overview

Kenneth D. Gardner Jr, MD, was affiliated with the Department of Medicine, Division of Renal Disease, University of New Mexico School of Medicine when he co-authored the 1976 JAMA article ‘Gaps—Anionic and Osmolal’ with Neil Smithline. The paper described clinical use of osmolal gaps and is associated with the simple calculated-serum-osmolality equation used by MedMaths. This profile is deliberately limited to details verified from the original publication record.

Specialty
Renal medicine
Institutions
University of New Mexico School of Medicine

Formula history

Research contributions

Smithline-Gardner Calculated Serum Osmolality Formula

Equation attributed to Kenneth D. Gardner Jr.

Used for: Clinical estimation of serum/plasma osmolality from sodium, glucose and urea/BUN measurements

Evidence trail

Original research

Smithline N, Gardner KD Jr. Smithline N, Gardner KD Jr — Gaps—Anionic and Osmolal. JAMA. 1976;236(14):1594-1597

DOI: 10.1001/jama.1976.03270150028025View on PubMed (PMID 989132)Publisher page

Historical source for the 1976 Smithline-Gardner bedside osmolal-gap framework associated with the simple calculated-osmolality equation used by MedMaths. This attribution is not a claim that the authors were the first to calculate serum osmolality.

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Each link below has a recorded relationship type. It may represent formula authorship, co-authorship, historical foundation or interpretation research; none implies endorsement or involvement from Kenneth D. Gardner Jr.

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Serum Osmolality Calculator

Calculate serum osmolality from sodium, glucose and urea, with optional osmol gap calculation.

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Related MedMaths guides

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Calculated Serum Osmolality and Osmol Gap Explained

Understand directly measured vs calculated serum osmolality, effective osmolality/tonicity, what the osmol gap represents, why formulas and ethanol coefficients change the result, and why the gap must be interpreted as a clue rather than a diagnosis.

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Researchers connected to this work

NS
Laboratory methods

Neil Smithline

Renal medicine

Known for

Smithline-Gardner Calculated Serum Osmolality Formula

1 publication 1 linked calculatorProfile

About this profile

This profile summarizes the published work and draws on the original publications above and verified external sources. It isn't a calculator or clinical advice. Kenneth D. Gardner Jr isn't affiliated with MedMaths and hasn't endorsed it. Anything we couldn't confirm is left blank, not estimated.

jamanetwork.com pubmed.ncbi.nlm.nih.gov

Reference data verified: 2026-08-12

See the methodology and editorial policy for the wider sourcing process.

Profile at a glance

Formulas
1
Publications
1
Verified links
1

Research focus

Osmolal gapCalculated serum osmolalityRenal medicine

Source integrity

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