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Fluids & Electrolytes

Sodium Deficit (Hyponatraemia)

Estimates the sodium deficit needed to raise serum sodium to a target in a hyponatraemic child.

Scope: Uses TBW = 0.6 × weight. A guide to total deficit only — it does not set the infusion rate, which must respect the daily correction limit.

Inputs

FieldUnitNotes
Weight kg 0.5–150
Measured sodium mEq/L 100–135
Target sodium mEq/L Commonly 135 (or 125 as an initial safe target)
Total body water fraction Young infants run a higher TBW

FAQ

What is the Sodium Deficit (Hyponatraemia)?

Estimates the sodium deficit needed to raise serum sodium to a target in a hyponatraemic child.

What inputs does the Sodium Deficit (Hyponatraemia) need?

Weight (kg), Measured sodium (mEq/L), Target sodium (mEq/L), Total body water fraction.

Are there any limitations?

Uses TBW = 0.6 × weight. A guide to total deficit only — it does not set the infusion rate, which must respect the daily correction limit.

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Estimates free-water deficit and fluid replacement for a child with hypernatremia (Na > 145).

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Adjusts measured serum sodium for the dilutional effect of hyperglycaemia (e.g. in DKA).

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