Pharmacology · Calculator

Hyperglycemia Sodium Correction Calculator

Estimate true serum sodium in a patient with high blood glucose (Katz correction).

Result
This tool provides an educational estimate only and does not replace clinical judgement, institutional protocol, or pharmacist/physician verification.

Introduction

In hyperglycemia, water is pulled from cells into the blood, diluting sodium and making the measured value look artificially low. The Katz correction restores an estimate of the patient's true sodium status.

How to use the Hyperglycemia Sodium Correction Calculator

Formula and Calculation Method

Corrected Na⁺ = Measured Na⁺ + 1.6 × [(Glucose − 100) / 100]

Visual breakdown

HYPERGLYCEMIA SODIUM CORRECTION — CALCULATION FLOW1Measured Na⁺2+ 1.6 ×(Glucose−100)/1003Corrected Na⁺
REFERENCE Normal serum sodium range: 135–145 mEq/L

Why use this calculator

Treating the uncorrected sodium value can lead to inappropriate fluid or sodium management. This calculator applies the widely used Katz factor automatically and plots how the correction scales as glucose rises.

FAQs

Why 1.6 and not 2.4?

Both factors appear in literature; 1.6 mEq/L per 100 mg/dL glucose above normal is the more conservative, widely cited value.

Does this apply in DKA?

Yes, it's commonly used in diabetic ketoacidosis, though clinical judgment and repeat labs remain essential.

What counts as normal glucose here?

The formula assumes 100 mg/dL as the reference baseline glucose.