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Arterial Sodium (Blood Gas)

Electrolytes

Arterial sodiumBG Na+Blood gas sodiumNa+ arterial

Review status

Currently under review

Pending specialist review and validation.

What it shows

This test measures the concentration of sodium in an arterial whole blood sample using a blood gas analyzer. Sodium is the main electrolyte in the fluid outside your cells and is essential for nerve signaling, muscle contraction, and keeping the right balance of water in your body.

It is often performed in urgent or critical settings because it provides a rapid snapshot of your electrolyte status alongside other blood gas measurements. The result reflects your sodium level at the moment the arterial sample is taken.

Why it matters

Your care team uses this test to quickly assess for sodium disturbances that can affect thinking, alertness, seizures, muscle cramps, and heart rhythm. It is commonly ordered during emergencies, surgery, and intensive care to guide fluids and medications.

Results can help evaluate problems related to dehydration, fluid overload, kidney or hormone disorders, and side effects from medicines that change water handling. It also helps monitor response to treatments that add or remove salt and water.

Understanding your results

Your result is interpreted together with your symptoms, exam, and other lab findings. If the value is lower than expected, your team may look for causes such as excess water intake, losses from vomiting or diarrhea, certain medications, hormone problems, or high blood sugar. If the value is higher than expected, dehydration, salt loads, or water loss are often considered.

Because this measurement is made on arterial whole blood with a point-of-care instrument, it can differ slightly from a standard laboratory serum result. If a result does not fit your clinical picture, your clinician may repeat the test or confirm with a serum measurement. Do not change your fluids or medicines unless your care team advises you to do so.

Reference ranges

135148 mmol/L
All sexes
0 days – 1 month
137144 mmol/L
All sexes
1 month – 150 years

Reference intervals vary by laboratory, analyzer, methodology, population, and units. The ranges shown here are for education only. Always interpret your results against the reference interval printed on your own lab report.

Factors that could impact Arterial Sodium (Blood Gas)

  • Arterial line and flush contamination

    Sampling from a line that was recently flushed with saline or medications can falsely alter sodium. Proper waste volume and line clearance are needed before collecting the sample.

  • Heparin and syringe preparation

    Excess liquid heparin or improperly prepared syringes can dilute the sample and artifactually lower electrolytes. Using balanced, dry heparin syringes and correct fill volume reduces this risk.

  • Timing, mixing, and handling

    Delayed analysis, inadequate mixing, or air exposure can introduce measurement error. Prompt testing and gentle mixing of the arterial sample help preserve accuracy.

  • Medications and infusions

    Diuretics, antidepressants, anticonvulsants, desmopressin, mannitol, and intravenous fluids can shift water and sodium. Drawing from the same limb as an active infusion may distort results.

  • Physiologic and disease states

    Dehydration, heart failure, cirrhosis, kidney disease, adrenal or thyroid disorders, and high blood sugar can change sodium levels and how they are interpreted.

  • Special populations

    Newborns, older adults, and people who are pregnant or critically ill may have different vulnerabilities to sodium shifts. Tell your clinician about pregnancy and chronic conditions.

2026

References

  1. McGill University Health Centre. (2015, July 03). BG Sodium Arterial (Task CD 1089561). Laboratory reference ranges.
  2. Spasovski, G., Vanholder, R., Allolio, B., Annane, D., Ball, S., Bichet, D., et al. (2014). Clinical practice guideline on diagnosis and treatment of hyponatraemia. European Journal of Endocrinology, 170(3), G1–G47. External link
  3. Adrogué, H. J., & Madias, N. E. (2000). Hypernatremia. New England Journal of Medicine, 342(20), 1493–1499. External link
  4. Clinical and Laboratory Standards Institute. (2001). C46-A2: Blood gas and pH analysis and related measurements; Approved guideline (2nd ed.).