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MEDICAL PROCEDURES


Electrolytes

What are electrolytes?

Electrolytes are substances that become ions in solution and acquire the capacity to conduct electricity. The balance of the electrolytes in our bodies is essential for normal function of our cells and our organs.

Common electrolytes that are measured by doctors with blood testing include sodium, potassium, chloride, bicarbonate. The normal range values for these electrolytes are listed below:

Sodium: The major positive ion (cation) in fluid outside of cells. The chemical notation for sodium is Na+. When combined with chloride, the resulting substance is table salt. Excess sodium (such as from fast food hamburger and fries) is excreted in the urine. Too much or too little sodium can cause cells to malfunction, and extremes can be fatal.

Normal blood sodium level is 135 - 145 milliEquivalents/liter (mEq/L), or in international units, 135 - 145 millimoles/liter (mmol/L).

Potassium: The major positive ion (cation) found inside of cells. The chemical notation for potassium is K+. The proper level of potassium is essential for normal cell function. A seriously abnormal increase of potassium ( hyperkalemia ) or decrease of potassium (hypokalemia) can profoundly affect the nervous system and heart, and when extreme, can be fatal.

The normal blood potassium level is 3.5 - 5.0 milliEquivalents/liter (mEq/L), or in international units, 3.5 - 5.0 millimoles/liter (mmol/L).

Chloride: The major anion found in the fluid outside of cells and in blood. An anion is the negatively charged part of certain substances such as table salt (sodium chloride or NaCl) when dissolved in liquid. Sea water has almost the same concentration of chloride ion as human fluids.

The balance of chloride ion (Cl-) is closely regulated by the body. Significant increases or decreases in chloride can have deleterious or even fatal consequences:

  • Increased chloride (hyperchloremia): Elevations in chloride may be seen in diarrhea , certain kidney diseases, and sometimes in overactivity of the parathyroid glands.
  • Decreased chloride (hypochloremia): Chloride is normally lost in the urine, sweat, and stomach secretions. Excessive loss can occur from heavy sweating, vomiting, and adrenal gland and kidney disease.

The normal serum range for chloride is 98 - 108 mmol/L.

Bicarbonate: Bicarbonate levels are used to monitor the acidity of the blood and body fluids. The acidity is affected by foods or medications that we ingest and the function of the kidneys and lungs. The chemical notation for bicarbonate on most lab reports is HCO3- or represented as the concentration of carbon dioxide (CO2).

The normal serum range for bicarbonate is 22-30 mmol/L.

 

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