Test Detail
Understanding the Test
Test Measures
Interpreting Results
FAQ's
References
Other Tests
Content created by
Written by
Dr. Betina Chandolia
BDS, MDS - Oral Pathology and Microbiology
Reviewed by
Dr. Ashish Ranjan
MBBS, MD (Pharmacology)
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Serum Electrolytes

Also known as Electrolyte panel, S. Electrolytes
Serum Electrolytes Includes 3 testsView All
You need to provide
Blood
This test is for
Male, Female

Understanding Serum Electrolytes


What is Serum Electrolytes?

A Serum Electrolytes test measures the levels of 3 major electrolytes, namely sodium (Na+), potassium (K+), and chloride (Cl-), in the body. This test is performed to evaluate your overall health and to detect or monitor issues with the kidneys, liver, or heart. It may be done as part of routine health checkups. 

Electrolytes are the minerals found in the blood, tissues, urine, and extracellular fluids. They are responsible for performing various important functions. They help to control the quantity of body fluids, balance the body’s pH level, control heart rate and rhythm, and regulate blood pressure. They also help in conducting nerve impulses and muscle contraction.

You may get a Serum Electrolytes test done if you experience symptoms suggestive of electrolyte imbalance in your body, such as extreme fatigue, weakness, difficulty in breathing, irregular heartbeat, diarrhea, vomiting, dehydration, muscle weakness, confusion, or seizures. Your doctor may also use this test to monitor treatment response for high blood pressure or as a followup test if you are undergoing dialysis. Usually, no special preparation is required for an electrolyte test; eat and drink as per your daily routine.

Test result ranges are approximate and may differ slightly between different labs depending on the methodology and laboratory guidelines. Talk to your doctor about your specific test results. Narrate your complete medical history to help the doctor correlate your clinical and laboratory findings. The test results will help them determine your medical condition, make recommendations for lifestyle modifications such as diet and exercise, decide whether or not medication will be required to manage your health, and formulate your overall treatment plan. 

What is Serum Electrolytes used for?

A Serum Electrolytes test is done:

  • As part of routine health checkups.

  • A​​s part of checkups to detect kidney, liver, or heart diseases.

  • To check the water and electrolyte balance.

  • To check the acid-base (pH) balance of your body.

  • To detect health issues if you experience symptoms such as muscle weakness, irregular heartbeat, or cardiac arrhythmia.

  • To monitor the progress of the condition and treatment response while undergoing treatment for high blood pressure, metabolic acidosis, and diseases related to the kidneys, heart, or liver.

  • To monitor patients who are receiving diuretic therapy, intravenous fluids, or dialysis.  

What does Serum Electrolytes measure?

Contains 3 tests

A Serum Electrolytes test measures 3 important electrolytes in the body, namely sodium, potassium, and chloride. Electrolytes are electrically-charged minerals that move fluid in and out of the cells. They transport the nutrients into the cells and flush out the waste products. They also help maintain water balance and pH level by keeping the acids and bases in your blood balanced. Hence, the body needs to maintain an optimal balance of fluids and electrolytes for proper functioning. 

Interpreting Serum Electrolytes results


Interpretations

The normal range of serum electrolytes may vary from lab to lab.

Sodium (Na+)

Normal range: 135 to 145 mmol/L

Hyponatremia: Below 135 mmol/L

Hypernatremia: Above 145 mmol/L

Sodium concentration in the body is maintained within a narrow normal range between 135 mmol/L and 145 mmol/L.

Hyponatremia or low blood sodium indicates that sodium concentration lies below the normal range.

Hypernatremia or high blood sodium indicates that sodium concentration lies above the normal range.

Potassium (K+)

Normal range: 3.5 to 5.0mmol/L (136.5 to 195μg/ml approx.)

Hypokalemia: Below 3.5mmol/L (Less than 136.5μg/ml approx.)

Hyperkalemia: Above 5.0mmol/L (Above 195μg/ml approx.)

Potassium concentration in the body is maintained within a narrow normal range between 3.5mmol/L and 5.0mmol/L.

Hypokalemia or low blood potassium indicates that potassium concentration lies below the normal range.

Hyperkalemia or high blood potassium indicates that potassium concentration lies above the normal range.

Chloride (Cl-)

Normal reference range:

  • Adults: 98 to 106 mEq/L (milliequivalents per liter)

  • Children: 90 to 110 mEq/L

  • Newborn: 96 to 106 mEq/L

       

Higher than normal chloride level is called Hyperchloremia.

Lower than normal chloride level is called Hypochloremia.

 

Answers to Patient Concerns & Frequently Asked Questions (FAQs) about Serum Electrolytes


Frequently Asked Questions about Serum Electrolytes

Q. What are the major electrolytes and their importance in our body?

Sodium, potassium, and chloride are 3 major electrolytes present in our body. They help in maintaining the body’s fluid balance, balancing the body's pH levels, regulating blood pressure, controlling heart rate, maintaining nerve function, and facilitating muscle contraction.

Q. What are the signs and symptoms of electrolyte imbalance?

The signs and symptoms that might indicate electrolyte imbalance in your body are headache, fatigue, nausea, vomiting, diarrhea or constipation, irregular heartbeat, muscle cramps, numbness or tingling in fingers and toes, irritability, and confusion.

Q. What causes an electrolyte imbalance in the body?

Sudden fluid loss due to persistent diarrhea, vomiting or sweating, not drinking enough water, higher-than-normal body pH level, and the effects of certain medicines, such as diuretics, steroids, and laxatives are some of the common causes that may lead to an electrolyte imbalance.

Q. What fruits are high in electrolyte content?

Fruits such as bananas, apricots, kiwi, peaches, dried figs, oranges, strawberries, mangoes, and cherries are high in electrolyte content. Consider adding these to your diet to improve your electrolyte levels naturally.

Q. Is there anything else I need to know about a serum electrolyte test?

Depending on the electrolyte that is imbalanced in your body, treatment may involve diet changes, such as altering salt or fluid intake, or modification in the dose or frequency of certain medications, such as diuretics and painkillers. Once the treatment has started, regular tests may be advised to monitor treatment response and ensure that the electrolyte balance is maintained.
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