What it is: A sodium blood test measures the level of sodium, the main electrolyte controlling fluid balance outside the body's cells, in the blood.
Why it's ordered: Ordered as part of an electrolyte or metabolic panel to evaluate dehydration, fluid overload, or symptoms like confusion, seizures, or unexplained fatigue.
What it detects: Sodium levels reflect the balance between water and salt in the body rather than salt intake alone; abnormal levels can point to kidney disease, hormonal imbalances, or excessive fluid loss or intake.
Collection & prep: A standard blood draw from a vein in the arm, usually as part of a broader metabolic panel. No special preparation is typically required.
Results:
High (hypernatremia) – usually reflects dehydration or excess free water loss
Low (hyponatremia) – can reflect excess fluid retention, certain medications, or hormonal conditions
Normal – fluid balance appears stable
Possible complications of a sodium imbalance: Rapid or severe sodium shifts can cause confusion, seizures, or brain swelling, which is why very abnormal levels are corrected gradually and under medical supervision rather than all at once.
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