🧪 Corrected Sodium for Hyperglycaemia
UseInterpret sodium in patients with marked hyperglycaemia (e.g. DKA/HHS).
SourceHillier TA, et al. Am J Med 1999
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
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Methodology · worked example, guidelines & full notes
Hyperglycaemia dilutes serum sodium.
When to use
Interpret sodium in patients with marked hyperglycaemia (e.g. DKA/HHS).
How it works
Corrected Na = measured Na + 1.6 × (glucose − 100)/100 (mg/dL); the 2.4 factor (Hillier) is often better at glucose > 400.
Key points
- Hyperglycaemia dilutes serum sodium.
- Use corrected sodium to judge true hypo-/hypernatraemia.
- Reassess as glucose falls with treatment.
References
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Measured sodium | 130 mmol/L |
|---|---|
| Glucose | 600 mg/dL |
→Corrected Na (×1.6)138.0mmol/L
- Corrected Na (×2.4, Hillier):142.0 mmol/L
- Formula:Na + 1.6 (or 2.4) × (glucose − 100)/100, mg/dL
Verification & sources · governance
FAQ
Frequently asked questions
- What are the limits and cautions when using Corrected Sodium for Hyperglycaemia?
- For licensed clinicians and clinical researchers. Interpret results with history, investigations and local protocols; not a diagnosis or prescription, and not a substitute for multidisciplinary decision-making or local guidelines.
- Does Corrected Sodium for Hyperglycaemia upload patient data? Where is it calculated?
- Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
- How is Corrected Sodium for Hyperglycaemia calculated in practice? Can you show a worked example?
- Inputs: Measured sodium 130 mmol/L, Glucose 600 mg/dL → Result: Corrected Na (×1.6) 138.0 mmol/L(Corrected Na (×2.4, Hillier): 142.0 mmol/L, Formula: Na + 1.6 (or 2.4) × (glucose − 100)/100, mg/dL)