CorrectedSodiumCalculator calculator can be used to adjust measured serum sodium based on the patient's alkaline reserve (base excess). This is particularly useful in cases of respiratory or metabolic acidosis.
Learn how to use the CorrectedSodiumCalculator calculator and its working principles
This calculator is particularly useful in clinical settings when a patient's measured serum sodium appears low but may be falsely depressed due to acidosis. It helps adjust the sodium level to reflect what it would be in a normal metabolic state.
The formula used in this calculator adjusts the measured sodium based on the patient's alkaline reserve (base excess). The base excess reflects the difference between the actual bicarbonate level and the expected bicarbonate level at a normal pH. A positive base excess indicates alkalosis, while a negative base excess indicates acidosis.
For example, if a patient has a measured serum sodium of 135 mEq/L and a base excess of -5 mEq/L, the corrected sodium would be:
135 + (1.6 × (-5 - 14)) / 2.5 = 135 + (1.6 × (-19)) / 2.5 = 135 - 12.16 = 122.84 mEq/L