Normal Sodium 135-145 — FRCA Primary MCQ
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Correct answer: D — 135-145 mmol/L
Normal plasma Na+ is 135-145 mmol/L. It is the major determinant of serum osmolality. Hyponatraemia (<135) can cause cerebral oedema / seizures / and death. Rapid correction risks central pontine myelinolysis (osmotic demyelination syndrome). Hypernatraemia (>145) causes cellular dehydration.
Reference: Power Kam 2018 Principles of Physiology for the Anaesthetist