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Serum Sodium (Electrolyte)

Published: August 9, 2026Updated: August 17, 2026

This test measures the amount of sodium in your blood, an important electrolyte that helps balance fluids and maintain proper heart and nerve function.

Quick summary

["Sodium levels help doctors check if you're retaining or losing too much fluid or salt, which can affect your health."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
30543-3
Short code
OF .75% NaCl NFr RBC
Synonyms
OF .75% NaCl NFr RBC
Category
electrolyte
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
4.2
Ref high
5.9
Critical range
2 N/A – 7 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
85041
SNOMED
900000000000003001
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

Why This Test Matters

Your body needs sodium to keep fluids balanced and support nerve and muscle function. Too much or too little can lead to serious health issues, like high blood pressure, heart problems, or even seizures in extreme cases. Doctors may order this test if you have symptoms like extreme thirst, confusion, or swelling, or if you’re taking certain medications that affect sodium levels.

When You Might Need It

This test is often done if you have symptoms like unusual thirst, swelling in your legs or abdomen, confusion, or irregular heartbeat. It may also be checked before surgeries, during pregnancy, or if you have conditions like kidney disease, heart failure, or certain medications (like diuretics or steroids) that can affect sodium levels.

What to Expect Before the Test

No special preparation is usually needed, but you may be asked to fast for a few hours before the test if it’s part of a larger blood panel. On the day of the test, avoid drinking excessive water or salt if instructed by your doctor.

What Happens During the Test

A healthcare provider will draw blood from a vein in your arm. The blood will be sent to a lab for analysis. The process takes only a few minutes, and you may feel a slight pinch or discomfort, but it’s usually over quickly.

Reference range

Adult males: 4.2-5.9; Females: 3.8-5.1 x 10^12/LN/A

Specimen: serum

No special preparation required. Stay well hydrated.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Low sodium levels (hyponatremia) can cause headaches, nausea, confusion, or even seizures. High sodium levels (hypernatremia) may lead to thirst, dry mouth, rapid heartbeat, or muscle spasms. Doctors use this test to diagnose and monitor conditions like dehydration, kidney disease, or hormonal imbalances that affect sodium balance.

Short name

Sodium Level

Frequently asked questions

What does a normal sodium level mean?
A normal sodium level is usually between 135 and 145 milliequivalents per liter (mEq/L). However, your exact range may vary slightly depending on the lab and your overall health. If your result is outside this range, your doctor will discuss it with you and may recommend further testing or treatment.
How can I lower my sodium intake if my test shows high sodium?
If your sodium level is high, your doctor may suggest reducing processed foods, salty snacks, and table salt. Drinking more water (unless advised otherwise) and eating potassium-rich foods like bananas, spinach, or sweet potatoes can also help balance your sodium levels. Always follow your doctor’s specific advice.
Can I drink water before my sodium test?
You may be asked to avoid drinking extra water before the test, especially if it’s part of a larger panel. Follow your doctor’s instructions carefully, as drinking too much water can dilute your sodium levels and give a misleading result.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 17, 2026. · Read our editorial policy