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Blood Gas Sodium, Capillary

Electrolytes

BG Na+ (Cap)Blood gas sodiumCapillary sodiumSodium, capillary blood

Review status

Currently under review

Pending specialist review and validation.

What it shows

BG Sodium Cap measures the concentration of sodium in a small capillary blood sample using a blood gas analyzer. Sodium is a key electrolyte that helps regulate fluid balance and supports normal nerve and muscle function. This test provides a rapid assessment of sodium status at the bedside or in urgent care settings.

The sample is collected from a fingerstick or heelstick, which is useful when only a tiny volume of blood is available or when quick decisions are needed. Because it is performed on whole blood with a direct ion selective electrode, results may differ slightly from standard serum chemistry testing, but they generally reflect your current sodium status.

Why it matters

Sodium levels influence your body’s water balance, brain function, and muscle activity. Clinicians order this test when they need fast information during acute illness, dehydration, confusion, seizures, or monitoring in intensive or newborn care. It is often checked alongside other electrolytes and acid base measurements to guide immediate treatment decisions.

Abnormal sodium can be related to fluid losses or excess intake, kidney or hormonal conditions, and certain medications. Rapid identification helps your care team choose appropriate fluids, adjust medicines, and plan follow up testing to address the underlying cause.

Understanding your results

Your clinician will interpret your result in the context of your symptoms, hydration status, medications, and other lab results. Small unexpected deviations can occur from capillary sampling or device related factors; if the number does not match your clinical picture, your team may repeat the test or confirm it with a standard venous or serum chemistry panel.

If your sodium is outside the expected range, your provider may look for causes such as fluid losses, water imbalance, kidney or endocrine issues, or medication effects. Follow up can include checking other electrolytes, glucose, osmolality, and urine studies, as well as reviewing your fluids and medicines. Prompt communication about symptoms like headache, nausea, confusion, or cramps helps your team decide on next steps and whether treatment or re testing is needed.

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 Blood Gas Sodium, Capillary

  • Capillary collection technique

    Excess squeezing, poor perfusion, or not discarding the first drop can dilute the sample with tissue fluid and alter sodium. Proper site warming, gentle pressure, and correct order of draw reduce this risk.

  • Contamination from fluids or skin

    Sampling near an active IV line, residual antiseptics, or sweat can contaminate the drop of blood and change the measured sodium. Avoid the infusion limb and let the site dry fully before collection.

  • Medications and IV therapy

    Diuretics, desmopressin, antidepressants, and some antiepileptics can shift sodium balance. Hypertonic or hypotonic IV fluids and large electrolyte replacements can acutely raise or lower the result.

  • Glucose and osmotic shifts

    Marked changes in blood glucose can shift water between body compartments and affect measured sodium. Your clinician may interpret sodium together with glucose and osmolality to understand the true balance.

  • Analyzer method and anticoagulant

    Blood gas analyzers use direct ion selective electrodes, and whole blood is typically anticoagulated with heparin. Calibration, cartridge lot, and heparin type can introduce small method specific differences.

  • Special populations

    Newborns, older adults, and critically ill patients can have dynamic sodium and water balance. Providers often trend values and may confirm results with standard serum testing if results are unexpected.

2026

References

  1. McGill University Health Centre. (2015, July 03). BG Sodium Cap (Task CD 1092238). Laboratory reference ranges.
  2. Verbalis, J. G., Goldsmith, S. R., Greenberg, A., Korzelius, C., Schrier, R. W., Sterns, R. H., & Thompson, C. J. (2013). The diagnosis and management of hyponatremia: A clinical practice guideline by the Endocrine Society. Journal of Clinical Endocrinology & Metabolism.
  3. Spasovski, G., Vanholder, R., Allolio, B., Annane, D., Ball, S., Bichet, D., ... & Haller, M. (2014). Clinical practice guideline on diagnosis and treatment of hyponatraemia. European Journal of Endocrinology, 170(3), G1–G47.
  4. Dimeski, G., Morgan, T. J., & Presneill, J. J. (2010). Disagreement between ion-selective electrode direct and indirect sodium measurements. International Journal of Medical Sciences, 7(5), 227–232.
  5. McPherson, R. A., & Pincus, M. R. (Eds.). (2021). Henry’s Clinical Diagnosis and Management by Laboratory Methods (24th ed.). Elsevier.