Too Much Sodium (Hypernatremia): Test and Diagnosis

Laboratory parameters of 1st order – obligatory laboratory tests.

Laboratory parameters 2nd order – depending on the results of the history, physical examination, etc. – for differential diagnostic clarification.

Parameter Hypovolemic hypernatremia (= hypertonic dehydration). Hypervolemic hypernatremia (= hypertonic hyperhydration)
Sodium (Na)
Total protein in serum (serum protein; serum protein).
Hemoglobin (Hb)
Hematocrit(Hk)
Mean single red cell volume(MCV)
Serum osmolality > 296 mosmol/kg H2O > 296 mosmol/kg H2O
Specific urine weight