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Sodium Blood Test

Published: July 31, 2026Updated: August 10, 2026

This blood test measures the amount of sodium in your blood to check your body's electrolyte balance and how well your kidneys are working. Sodium is a key electrolyte that helps control fluid levels, nerve signals, and muscle function, and the test is often included in routine metabolic and electrolyte panels.

Quick summary

{"Sodium is a key electrolyte that helps maintain fluid balance and nerve/muscle function","Normal range is typically 136-145 mmol/L","Abnormal levels may indicate dehydration, kidney disease, or other conditions","The test requires a simple blood draw","Results help doctors diagnose and monitor various medical conditions"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 10, 2026Editorial policy

Key facts at a glance

LOINC
2951-2
Short code
Na
Synonyms
—
Category
electrolyte
Sample
serum
Container
Serum Separator Tube (SST) or Plain Red Top Tube
Units
mmol/L
Ref low
136
Ref high
145
Critical range
120 mmol/L – 160 mmol/L
Fasting
false
Population
adult
Sex
all
Age range
0–120 years
Method
ion-selective-electrode
CPT
84295
SNOMED
365797006
Specimen volume
3-5 mL
Stability
Room temperature: 72 hours (3 days), Refrigerated (2-8°C): 7 days, Frozen (-20°C or below): 30 days
Hemolysis max
50
Lipemia max
400
Icterus max
60
TAT
1–2 hours

What is this test?

The sodium blood test, also known as serum sodium, measures the concentration of sodium in your blood. Sodium is an essential electrolyte that plays a crucial role in maintaining fluid balance, supporting nerve function, and helping muscles contract properly. This test is part of a routine metabolic panel and electrolyte panel.

Why is it important?

Sodium is one of the most important electrolytes in your body. It helps regulate the amount of water in and around your cells and maintains blood pressure. Your kidneys help control sodium levels by adjusting how much sodium is excreted in urine. When sodium levels are too high (hypernatremia) or too low (hyponatremia), it can indicate underlying health problems.

How is the test performed?

A healthcare professional will draw a small blood sample from a vein in your arm using a needle. The sample is then sent to a laboratory for analysis. You do not need to fast before this test, though your doctor may give you specific instructions. The test is quick and generally causes minimal discomfort.

Understanding your results

Normal sodium levels typically range from 136 to 145 mmol/L. Your doctor will interpret your results based on your overall health, symptoms, and other test results. Slight variations from the normal range may not indicate a serious problem, but significant deviations require further investigation.

Reference range

Adult reference range: 136-145 mmol/L. Neonates (0-30 days): 133-145 mmol/L. Children: 136-145 mmol/L. Reference ranges may vary slightly by laboratory methodology and population.mmol/L

Specimen: serum

No fasting required. Patient should maintain normal fluid intake - avoid overhydration or dehydration before collection. Inform laboratory of any IV fluids received within 4 hours. Certain medications may affect results; consult physician regarding medication timing.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Low sodium (hyponatremia) may be caused by certain medications, heart failure, kidney disease, liver cirrhosis, or excessive fluid loss through vomiting or diarrhea. High sodium (hypernatremia) often indicates dehydration, diabetes insipidus, or excessive salt intake. Both conditions can cause symptoms like fatigue, confusion, nausea, or seizures if severe. This test helps diagnose and monitor these conditions, as well as evaluate kidney function and electrolyte balance.

Short name

Na

Part of panels

Frequently asked questions

Do I need to fast before the sodium test?
Typically, no fasting is required for a sodium blood test. However, follow any specific instructions your doctor provides.
What happens if my sodium levels are abnormal?
Abnormal sodium levels may require additional testing to determine the cause. Your doctor will recommend treatment based on the underlying cause, which may include dietary changes, medication adjustments, or treating an underlying condition.
Can medications affect my sodium levels?
Yes, certain medications such as diuretics (water pills), antidepressants, and blood pressure medications can affect sodium levels. Always inform your doctor about all medications you are taking.
How often should I have my sodium checked?
The frequency depends on your health condition and your doctor's recommendations. It is often part of routine blood work during annual physical exams or when monitoring certain conditions.
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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 10, 2026. · Read our editorial policy