Corrected Sodium

The Corrected Sodium Calculator adjusts serum sodium levels for patients with hyperglycemia or other conditions that affect sodium concentration. High glucose levels, for example, can lead to falsely low sodium measurements due to water shifts. This calculator corrects the sodium levels to account for these effects, providing a more accurate assessment of a patient’s sodium status.

  • Adjust for Hyperglycemia: Corrects for sodium dilution in patients with high blood sugar, such as in diabetic ketoacidosis (DKA) or hyperosmolar hyperglycemic state (HHS).
  • Accurate Sodium Levels: Helps determine the true sodium concentration when conditions like hyperglycemia or mannitol infusion are present.
  • Clinical Diagnosis and Treatment: Essential for accurate diagnosis, fluid management, and electrolyte replacement in various conditions.
  • Better Patient Care: Helps clinicians make informed decisions about treatment, preventing overcorrection or undercorrection of sodium.

Corrected Sodium Calculator

Results:

Corrected Sodium:
mEq/L

Corrected Sodium $$ \text{Na}^+ + 0.016 \times (\text{Glucose (mg/dL)} - 100) $$

Where:

  • \( \text{Na}^+ \): Sodium concentration in mEq/L
  • \( \text{Glucose (mg/dL)} \): Glucose concentration in mg/dL

Description:

The Corrected Sodium calculation is used to adjust the sodium level in the presence of hyperglycemia. When blood glucose levels are high, the sodium concentration is often diluted due to the osmotic effect of glucose. The corrected sodium gives a more accurate representation of the body’s sodium balance.

Formula Explanation:

The formula adjusts the sodium concentration by accounting for the effect of hyperglycemia. The glucose level above 100 mg/dL is used to calculate the correction factor (0.016 times the difference between glucose and 100) to adjust the sodium value accordingly.

Normal Range:

The normal sodium level is typically between 135 and 145 mEq/L. The corrected sodium helps in determining if the sodium concentration is artificially low due to high blood glucose levels.

  • Normal Sodium Level: 135–145 mEq/L
  • Corrected Sodium:
    • For every 100 mg/dL increase in blood glucose above 100 mg/dL, sodium is typically reduced by 1.6 mEq/L.
    • Critical low sodium (<120 mEq/L): May lead to seizures, coma, or death if not corrected appropriately.