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Corrected Sodium Calculator

Corrected sodium calculator adjusts measured serum sodium for hyperglycemia using the Katz formula. For every 100 mg/dL glucose above 100, sodium increases by 1.6 mEq/L, which is critical for accurate assessment in DKA and HHS.

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Formula

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Core Formula
Nacorrected=Na+0.016×(Glucose100)\text{Na}_{\text{corrected}} = \text{Na} + 0.016 \times (\text{Glucose} - 100)

How it works: Corrects for the dilutional effect of glucose, which draws water into the serum and lowers the measured sodium concentration.

Worked Example

Na 130, Glucose 600 -> Corrected Na 138.

Understanding Corrected Sodium for Hyperglycemia

When blood glucose is elevated, the osmotic effect draws water from cells into the bloodstream, diluting the measured sodium. Correcting for this effect reveals the true sodium status.

  • Katz formula: Corrected Na = Measured Na + 1.6 x ((Glucose - 100) / 100)
  • For every 100 mg/dL rise in glucose above 100, sodium drops by approximately 1.6 mEq/L
  • Normal sodium range: 135 to 145 mEq/L; normal fasting glucose: 70 to 100 mg/dL
  • Essential in DKA (diabetic ketoacidosis) and HHS (hyperglycemic hyperosmolar state) management
  • Some clinicians use a 2.4 mEq/L correction factor when glucose exceeds 400 mg/dL

This calculator is for educational purposes only. Always consult a healthcare professional for electrolyte management decisions, especially in critically ill patients with DKA or HHS.

You can also calculate changes using our Fluid Deficit Calculator or Anion Gap Calculator.

Frequently Asked Questions

Why do we correct sodium for glucose?

High glucose creates an osmotic gradient that pulls water from cells into the blood, diluting measured sodium. The corrected value reveals what sodium would be if glucose were normal (100 mg/dL).

Which formula does this use?

This calculator uses the standard Katz formula: add 1.6 mEq/L to measured sodium for every 100 mg/dL increase in glucose above 100 mg/dL.

When should I use corrected sodium?

Use it whenever a patient has significant hyperglycemia (usually glucose above 200 mg/dL), particularly in DKA or HHS, to accurately assess true sodium and water balance.

What is the difference between the 1.6 and 2.4 correction factors?

The 1.6 factor (Katz) is standard for most hyperglycemia. Some evidence supports using 2.4 mEq/L per 100 mg/dL when glucose exceeds 400 mg/dL, as the relationship may not be perfectly linear at extreme values.

What if corrected sodium is still low?

If corrected sodium remains below 135 mEq/L, the patient has true hyponatremia in addition to hyperglycemia, which requires separate evaluation and treatment.

Is this calculator a substitute for medical advice?

No. This tool is for educational purposes only. Electrolyte correction in DKA and HHS should always be guided by a qualified healthcare professional.

How can I put this Corrected Sodium Calculator on my blog or website?

Yes, the Corrected Sodium Calculator is fully embeddable. Tap "Embed" above to configure appearance and copy the code. It is free to use, works on any platform (HTML, WordPress, CMS), and adjusts to any screen size automatically. Visit calculory.com/services/embed-calculators for the complete guide.

Medical Disclaimer

This calculator is provided for informational and educational purposes only. It is not intended as a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before making any decisions based on these results. Do not disregard or delay seeking medical advice because of information obtained from this tool.

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