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Plasma osmolality

 

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Plasma osmolality


 
 

Plasma osmolality is a measure of the concentration of substances such as sodiumSodium

Sodium is a chemical element which has the symbol Na , atomic number 11, atomic mass 22.9898 g/mol, oxidation number +1....
, chlorideChloride

The chloride ion is formed when the element chlorine picks up one electron to form an anion Cl−....
, potassiumPotassium

Potassium is a chemical element. It has the symbol K and atomic number 19....
, ureaUrea

Urea is an organic compound of carbon, nitrogen, oxygen and hydrogen, with the formula CON2H4 or 2CO....
, glucoseGlucose Summary

Glucose , a monosaccharide , is one of the most important carbohydrates in biology....
, and other ionIon Summary

An ion is an atom or group of atoms that normally are electrically neutral and achieve their status as an ion by loss of an...
s in human bloodBlood

Blood is a highly specialised circulating tissue consisting of several types of cell suspended in a fluid medium known as pl...
. It is calculated as the osmolesOsmole (unit)

In chemistry, the osmole is a non-SI unit of measurement that defines the number of moles of a chemical compound that contr...
 of solute per kilogram of solvent. Normal osmolality in plasma is about 280 - 303 milli-osmoles per kilogram. It is affected by changes in water content.

To calculate plasma osmolarity (osmolality) use the following equation:

Posm = 2[Na+] + [Glucose]/18 + [ BUNBun

A bun is a sweet or plain small bread or a round roll....
 ]/2.8

Clinical Relevance

As cell membraneCell membrane

A cell membrane, plasma membrane or plasmalemma is a selectively permeable lipid bilayer coated by proteins whi...
s in general are freely permeable to waterFacts About Water

Water is a tasteless, odorless substance that is essential to all known forms of life and is known as the universal solve...
, the osmolality of the extracellular fluidExtracellular fluid Overview

In some animals, including mammals, the extracellular fluid can be divided into 2 major subcompartments, interstitial fluid ...
 (ECF) is approximately equal to that of the intracellular fluid (ICF). Therefore, plasma osmolality is a guide to intracellular osmolality. This is important, as it shows that changes in ECF osmolality have a great affect on ICF osmolality - changes that can cause problems with normal cell functioning and volume. If the ECF was to become too hypotonicHypotonic

In biology, a hypotonic cell environment is an environment with a lower concentration of solutes than the cytoplasm of the c...
, water would readily fill surrounding cells, increasing their volume and potentially lysingLysis

Lysis refers to the death of a cell by bursting, often by viral or osmotic mechanisms that compromise the integrity of the c...
 them.