Electrolytes

Sodium (Na)

Complete guide to sodium blood testing โ€” normal ranges, causes of high and low sodium levels, and when to get tested.

What is Sodium?

Sodium is an essential electrolyte that helps regulate water balance, nerve function, and muscle contractions. It's the main positively charged ion in the fluid outside your cells.

Why is it Important?

Sodium plays a critical role in:

  • Maintaining blood pressure and blood volume
  • Transmitting nerve impulses
  • Enabling muscle contractions
  • Regulating pH balance

Abnormal sodium levels can indicate kidney disease, dehydration, heart failure, or hormonal imbalances.

Normal Ranges

GroupRangeUnit
Adult135 โ€“ 145mEq/L
Critical Low< 120mEq/L
Critical High> 160mEq/L

What Do Abnormal Results Mean?

Low Sodium (Hyponatremia)

Common causes include:

  • Excessive water intake
  • Heart failure or kidney disease
  • SIADH (syndrome of inappropriate antidiuretic hormone)
  • Diuretic medications
  • Adrenal insufficiency
  • Severe vomiting or diarrhea

High Sodium (Hypernatremia)

Common causes include:

  • Dehydration from insufficient water intake
  • Excessive water loss (sweating, diarrhea, burns)
  • Diabetes insipidus
  • Cushing's syndrome
  • High salt intake

When Should You Get Tested?

Sodium is part of routine electrolyte panels and comprehensive metabolic panels. Your doctor may order it if you have symptoms like confusion, seizures, muscle weakness, fatigue, or irregular heartbeat.

This information is for educational purposes only and is not a substitute for professional medical advice.

Last reviewed: 2026-02-13