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Test Code NA Sodium Level

EHR Test Codes

  Test Code Test Name
Atlas NA Sodium
Cerner   Sodium Level

Specimen Requirements

Preparation of Patient: 

None

 

Container Type: 

Green Top 5mL Lithium Heparin Separator Tube

Or

 

Gold Top 6mL SST Gel & Clot Activator Tube

Specimen Type:

Plasma or Serum

 

Specimen Volume: 

2.5 mL Plasma or Serum minimum .5 mL

 

Specimen Handling/Transport:

Separate plasma or serum from cells within 2 hours of collection.

Transport ambient room temperature.

 

Specimen Stability/Storage:

5 days refrigerated 2-8°C

Performing Laboratory

Munson Healthcare Laboratories

Chemistry Department

Priority, Frequency, & Turnaround

Priority:

STAT, ASAP, Non-Emergent

 

Frequency:

24 hours 7 days a week

 

Turnaround:

0 - 1 days

STAT 45 minute from receipt in lab

Methodology

Ion-Selective Electrode (ISE)

Reporting

Reference Range:

136-144 mmol/L

 

Critical Decision: 

0 years to 21 years ≤ 125 or ≥ 155 mmol/L

21 years and up ≤ 120 or ≥ 160 mmol/L

Note:  Critical values are called to the provider and communicated as critical.  Documentation of the call is recorded in the patient record.

Clinical Significance

Sodium, the major cation of extracellular fluid, maintains normal hydration and osmotic pressure. It is increased in excessive sweating, hypothalamic disease, diabetes insipidus and Cushings syndrome. It is decreased with diuretic medication, sweating, kidney disease, congestive heart failure, severe diarrhea and vomiting, hepatic cirrhosis, diabetes mellitus and inappropriate antidiuretic hormone secretion.

CPT Code(s)

84295