Electrolytes · mmol/L

Sodium

Sodium is the main electrolyte outside cells; together with water it regulates the amount of body fluid, blood pressure and nerve function. The body maintains it precisely through thirst and the kidneys (the hormone ADH).

Ranges we useESE / ERA-EDTA / ESICM
RatingRangeWhat it means
Talk to a doctorbelow 135 mmol/LLow sodium — seek advice.
Good135 – 145 mmol/LWithin the reference range.
Talk to a doctor145 mmol/L and aboveHigh sodium — seek advice.
Source: ESE / ERA-EDTA / ESICM · Clinical practice guideline on diagnosis and treatment of hyponatraemia · 2014 · open

Why it matters

An abnormal value points to hydration, the kidneys, or hormones.

If it’s low

Low sodium (hyponatremia) is often an excess of water relative to salt. It can cause headache, nausea, confusion; a rapid fall is dangerous for the brain.

If it’s high

High sodium (hypernatremia) almost always means too little water relative to salt — dehydration (drinking too little, losses). It shows up as thirst, confusion.

What to do

Sodium mainly reflects water — you do not fix it by adding/removing salt on your own. An abnormality (especially with confusion) belongs to a doctor; mild fluctuations often follow hydration.

Read together with

Potassium · Chloride · eGFR

Part of the guide: Kidneys & electrolytes →

Articles about this marker

This content is for information only and is not a substitute for medical advice. Talk to your doctor about your results.

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