Osmolality Calculator — Estimate Serum Osmolality from Lab Values

Osmolality Calculator

Calculate serum osmolality based on sodium, glucose, BUN, and ethanol values. Understand osmolar gaps and clinical implications of abnormal osmolality.

Step 1: Laboratory Values

Understanding Osmolality

Serum osmolality measures the concentration of dissolved particles in blood. Normal range is 275-295 mOsm/kg. High osmolality suggests dehydration, hyperglycemia, or intoxication, while low values may indicate overhydration.

Step 2: Calculation Options

About Osmolar Gap

The osmolar gap is the difference between measured and calculated osmolality. Normal gap is <10 mOsm/kg. Elevated gaps suggest the presence of unmeasured osmoles like methanol, ethylene glycol, or other toxins.

Osmolality Calculation Results

Summary
Clinical Interpretation
Component Analysis

Calculated Serum Osmolality

285.3
Normal Range (275-295 mOsm/kg)
Sodium Contribution
280.0
Glucose Contribution
5.6
BUN Contribution
5.4
Osmolar Gap
-5.7

Clinical Interpretation

Osmolality Range Clinical Significance Possible Causes Management Considerations

Osmolar Gap Interpretation

Normal osmolar gap (<10 mOsm/kg). No evidence of unmeasured osmoles like methanol, ethylene glycol, or other toxins.

Component Contribution Analysis

Osmolality Formula

Standard Formula: 2 × [Na⁺] + [Glucose]/18 + [BUN]/2.8

With Ethanol: Standard + [Ethanol]/4.6
Simple Formula: 1.86 × [Na⁺] + [Glucose]/18 + [BUN]/2.8 + 9
Osmolar Gap = Measured Osmolality – Calculated Osmolality
Normal range: 275-295 mOsm/kg. Normal osmolar gap: <10 mOsm/kg.

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