⚡️ Electrolyte Profile – Sodium, Potassium & Chloride
Test Name | Fasting Required? | Main Organs | What It Measures | Why It's Important | Common Conditions Detected |
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1. 🧂 Sodium (Na⁺)
- ✅ Fasting: Recommended (8–10 hours preferred for accuracy)
- 🎯 Organ/System: Kidneys, Brain, Adrenal glands
- 📊 Measures: The primary extracellular electrolyte; helps control fluid balance, nerve impulses, and muscle contractions
- 📈 High Sodium (Hypernatremia):
- Dehydration, diabetes insipidus, Cushing's syndrome
- 📉 Low Sodium (Hyponatremia):
- SIADH (Syndrome of Inappropriate ADH), heart failure, kidney disease, water intoxication
- ✅ Normal Range: 135–145 mEq/L
- 🩺 Symptoms of imbalance: Confusion, seizures, lethargy, coma (especially if sudden)
2. 🍌 Potassium (K⁺)
- ✅ Fasting: Yes (especially if on diuretics or heart meds)
- 🎯 Organ/System: Kidneys, Heart, Muscles
- 📊 Measures: The major intracellular electrolyte; regulates heart rhythm, muscle contraction, and nerve signals
- 📈 High Potassium (Hyperkalemia):
- Kidney failure, Addison’s disease, certain medications (ACE inhibitors, ARBs)
- 📉 Low Potassium (Hypokalemia):
- Diuretics, vomiting, diarrhea, insulin therapy
- ✅ Normal Range: 3.5–5.1 mEq/L
- 🩺 Critical: Both high and low potassium can cause arrhythmias and cardiac arrest
3. 🧪 Chloride (Cl⁻)
- ✅ Fasting: Preferred
- 🎯 Organ/System: Kidneys, GI tract, Acid-base buffer systems
- 📊 Measures: The main anion in extracellular fluid; helps maintain electrical neutrality, acid-base balance, and fluid levels
- 📈 High Chloride (Hyperchloremia):
- Dehydration, kidney dysfunction, metabolic acidosis
- 📉 Low Chloride (Hypochloremia):
- Vomiting, excessive sweating, SIADH, metabolic alkalosis
- ✅ Normal Range: 96–106 mEq/L
- 🩺 Often interpreted with: Sodium and bicarbonate for full acid-base status
🔍 Summary Table
Electrolyte | Primary Function | Too High (↑) | Too Low (↓) |
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Sodium | Water balance, nerve function | Dehydration, diabetes insipidus | Hyponatremia: SIADH, renal failure |
Potassium | Muscle contraction, heart rhythm | Hyperkalemia: kidney failure | Hypokalemia: diuretics, vomiting |
Chloride | Acid-base & fluid balance | Acidosis, renal issues | Alkalosis, vomiting, sweating |
🔄 When Is This Profile Ordered?
Electrolyte testing is commonly ordered:
- For routine health checkups
- When symptoms include fatigue, muscle weakness, irregular heartbeat, confusion, or vomiting
- In patients on diuretics, ACE inhibitors, or chemotherapy
- To monitor kidney disease, dehydration, and acid-base balance
🧪 Recommended Tests to Run Alongside Electrolytes
Purpose | Tests |
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Kidney health | BUN, Creatinine, eGFR |
Heart rhythm risk | ECG, Calcium, Magnesium |
Acid–base disturbance evaluation | Bicarbonate, Arterial Blood Gas |
Fluid balance issues | Urine Osmolality, Aldosterone, Renin |
Hormonal control | ADH, Cortisol if SIADH or Cushing’s suspected |