{"id":144,"date":"2026-10-03T06:04:53","date_gmt":"2026-10-03T03:04:53","guid":{"rendered":"https:\/\/wpcalc.com\/fr\/?p=144"},"modified":"2026-10-03T06:04:53","modified_gmt":"2026-10-03T03:04:53","slug":"sodium-corrige-hyperglycemie","status":"publish","type":"post","link":"https:\/\/wpcalc.com\/fr\/medical\/sodium-corrige-hyperglycemie\/","title":{"rendered":"Calculateur de natr\u00e9mie corrig\u00e9e (hyperglyc\u00e9mie)"},"content":{"rendered":"<section class=\"not-prose calculator-box\" aria-labelledby=\"calculator-title\"><div class=\"flex items-baseline sm:items-center justify-between gap-2 sm:gap-3\"><div class=\"flex flex-col sm:flex-row sm:items-center gap-2\"><span class=\"icon icon-calculator text-primary-700! text-base! dark:text-primary-300!\" aria-hidden=\"true\"><\/span><h2 id=\"calculator-title\" class=\"text-lg font-display font-bold\">Correction de la natr\u00e9mie en cas d\u2019hyperglyc\u00e9mie<\/h2><\/div><div class=\"calcdash-favorite group\">\n  <button type=\"button\" class=\"favorite\" id=\"favorite\" data-favorite-id=\"144\" data-favorite-title=\"Natr\u00e9mie corrig\u00e9e (hyperglyc\u00e9mie)\" data-favorite-url=\"https:\/\/wpcalc.com\/fr\/medical\/sodium-corrige-hyperglycemie\/\" data-favorite-excerpt=\"Estime la natr\u00e9mie corrig\u00e9e en cas d\u2019hyperglyc\u00e9mie \u00e0 l\u2019aide des facteurs de correction de Katz (1,6 mEq\/L pour 100 mg\/dL) et de Hillier (2,4 mEq\/L). Saisissez la natr\u00e9mie mesur\u00e9e et la glyc\u00e9mie pour obtenir les deux r\u00e9sultats.\" aria-label=\"Ajouter aux favoris\" data-favorite-icon=\"icon icon-pharmacology\">\n    <span class=\"icon icon-shape-star-empty\" aria-hidden=\"true\"><\/span>\n  <\/button>\n  <div class=\"calcdash-favorite__tip\" aria-hidden=\"true\">\n   <span class=\"favorite-tooltip\" id=\"favorite-tooltip\"><\/span>\n  <\/div>\n  <span class=\"sr-only\" role=\"status\" id=\"favorite-status\"><\/span>\n<\/div><\/div><form action=\"https:\/\/wpcalc.com\/fr\/medical\/sodium-corrige-hyperglycemie\/\" method=\"POST\" class=\"calculator\" id=\"calculator-144\" data-post=\"144\"><fieldset class=\"fieldset-input is-1\"><legend class=\"sr-only\">Champs de saisie<\/legend><div class=\"field has-term\" id=\"input-1\"><label for=\"field-1\">Natr\u00e9mie mesur\u00e9e<\/label><div class=\"term\">Na<\/div>  <div class=\"absolute bottom-0 left-16 top-8 w-2 h-0.5 bg-blue-500\"><\/div><input type=\"text\" name=\"natrmie_mesure\" id=\"field-1\" aria-describedby=\"calc-unit-1\" data-number inputmode=\"decimal\" autocomplete=\"off\" spellcheck=\"false\" placeholder=\"Natr\u00e9mie (mEq\/L)\" min=\"100\" max=\"160\" value=\"135\"\/><div class=\"unit\" id=\"calc-unit-1\">mEq\/L<\/div><\/div><div class=\"field has-term\" id=\"input-2\"><label for=\"field-2\">Glucose s\u00e9rique<\/label><div class=\"term\">Glu<\/div>  <div class=\"absolute bottom-0 left-16 top-8 w-2 h-0.5 bg-blue-500\"><\/div><input type=\"text\" name=\"glucose_srique\" id=\"field-2\" data-number inputmode=\"decimal\" autocomplete=\"off\" spellcheck=\"false\" placeholder=\"Glucose\" min=\"70\" max=\"105\" value=\"90\"\/><\/div><div class=\"field\" id=\"input-3\"><label for=\"field-3\">Unit\u00e9 de mesure du glucose<\/label><div class=\"grid grid-cols-1\"><select id=\"field-3\" name=\"unit_de_mesure_du_glucose\"><option value=\"1\">mg\/dL<\/option><option value=\"2\">mmol\/L<\/option><\/select><svg class=\"pointer-events-none col-start-1 row-start-1 mr-2 size-5 self-center justify-self-end text-gray-500 sm:size-4\" viewBox=\"0 0 16 16\" fill=\"currentColor\" aria-hidden=\"true\" data-slot=\"icon\">\n              <path fill-rule=\"evenodd\" d=\"M4.22 6.22a.75.75 0 0 1 1.06 0L8 8.94l2.72-2.72a.75.75 0 1 1 1.06 1.06l-3.25 3.25a.75.75 0 0 1-1.06 0L4.22 7.28a.75.75 0 0 1 0-1.06Z\" clip-rule=\"evenodd\" \/>\n            <\/svg><\/div><\/div><\/fieldset><div class=\"buttons\"><button type=\"submit\" data-text=\"Recalculer\" id=\"calculate-button\" data-post=\"144\">Calculer<\/button><button type=\"reset\">R\u00e9initialiser<\/button><\/div><div class=\"field is-checkbox hidden!\" id=\"field-auto-calc\"><input type=\"checkbox\" id=\"auto-calc\"><label for=\"auto-calc\">Calculer automatiquement<\/label><small>Si activ\u00e9, le r\u00e9sultat se met \u00e0 jour automatiquement d\u00e8s que vous modifiez une valeur.<\/small><\/div><div class=\"fieldset-result is-hidden\" aria-labelledby=\"result-title\" aria-live=\"polite\" role=\"region\"> <h3 class=\"result-title bg-gradient-to-r from-primary-50 to-gray-50 dark:from-primary-900 dark:to-gray-800\" id=\"result-title\"><span class=\"icon icon-s-pulse\" aria-hidden=\"true\"><\/span> Vos r\u00e9sultats<\/h3><div class=\"result-box\"><div class=\"field-result\" id=\"output-1\"><span class=\"field-title\"><span>Natr\u00e9mie corrig\u00e9e (Katz, 1973) :<\/span><\/span><span class=\"field-value\" id=\"result-1\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Copier le r\u00e9sultat\" aria-label=\"Copier le r\u00e9sultat\"><span class=\"copy-icon icon icon-document-copy\" aria-hidden=\"true\"><\/span><\/button><\/div><div class=\"field-result\" id=\"output-2\"><span class=\"field-title\"><span>Natr\u00e9mie corrig\u00e9e (Hillier, 1999) :<\/span><\/span><span class=\"field-value\" id=\"result-2\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Copier le r\u00e9sultat\" aria-label=\"Copier le r\u00e9sultat\"><span class=\"copy-icon icon icon-document-copy\" aria-hidden=\"true\"><\/span><\/button><\/div><\/div><div class=\"result-actions\"><button type=\"button\" class=\"copy-link\"><svg viewBox=\"0 0 20 20\" fill=\"currentColor\" aria-hidden=\"true\"><path d=\"M12.232 4.232a2.5 2.5 0 0 1 3.536 3.536l-1.225 1.224a.75.75 0 0 0 1.061 1.06l1.224-1.224a4 4 0 0 0-5.656-5.656l-3 3a4 4 0 0 0 .225 5.865.75.75 0 0 0 .977-1.138 2.5 2.5 0 0 1-.142-3.667l3-3Z\"\/><path d=\"M11.603 7.963a.75.75 0 0 0-.977 1.138 2.5 2.5 0 0 1 .142 3.667l-3 3a2.5 2.5 0 0 1-3.536-3.536l1.225-1.224a.75.75 0 0 0-1.061-1.06l-1.224 1.224a4 4 0 1 0 5.656 5.656l3-3a4 4 0 0 0-.225-5.865Z\"\/><\/svg><span class=\"copy-link__text\">Copier le lien vers ce calcul<\/span><\/button><span class=\"sr-only\" role=\"status\" id=\"copy-link-status\"><\/span><\/div><\/div><a href=\"#respond\" class=\"hidden transition-opacity duration-300 opacity-0 w-50 text-sm justify-center items-center gap-2 px-4 py-2 rounded bg-gray-200 text-gray-700 hover:bg-gray-300\" id=\"leave-comment\"><span class=\"icon icon-comments\" aria-hidden=\"true\"><\/span>Laisser un commentaire<\/a><\/form><\/section><section id=\"calc-reactions\" class=\"not-prose hidden my-12 bg-gradient-to-r from-primary-50 to-gray-50 border border-indigo-100 rounded-xl px-6 py-4 shadow-sm\" data-post=\"144\" aria-live=\"polite\" aria-labelledby=\"calc-reactions-title\"><p id=\"calc-reactions-title\" class=\"text-sm text-gray-500 text-center mb-2\">Que pensez-vous de ce r\u00e9sultat\u00a0?<\/p><div role=\"group\" aria-labelledby=\"calc-reactions-title\" class=\"grid grid-cols-3 sm:flex sm:flex-row sm:justify-around gap-4 sm:items-center sm:flex-wrap\"><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"like\"><span class=\"reaction-count\" data-reaction-count=\"like\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\ude00 <\/span><span class=\"reaction-description font-medium\">J\u2019aime <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"helpful\"><span class=\"reaction-count\" data-reaction-count=\"helpful\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\udca1 <\/span><span class=\"reaction-description font-medium\">Utile <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"confused\"><span class=\"reaction-count\" data-reaction-count=\"confused\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\ude15 <\/span><span class=\"reaction-description font-medium\">Confus <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"disappointed\"><span class=\"reaction-count\" data-reaction-count=\"disappointed\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\ud83d\ude1e <\/span><span class=\"reaction-description font-medium\">D\u00e9\u00e7u <\/span><\/button><button type=\"button\" aria-pressed=\"false\" class=\"reaction-btn flex flex-col items-center gap-1 text-sm text-gray-700 hover:text-primary-600 cursor-pointer transition-transform hover:scale-105\" data-reaction=\"inaccurate\"><span class=\"reaction-count\" data-reaction-count=\"inaccurate\">0<\/span><span class=\"reaction text-3xl\" aria-hidden=\"true\">\u274c <\/span><span class=\"reaction-description font-medium\">Inexact <\/span><\/button><\/div><div id=\"reaction-message\" class=\"hidden mt-8 rounded-md border border-primary-100 bg-white\/50 backdrop-blur-sm px-4 py-2 text-sm text-center shadow-sm\"><\/div><\/section><div class=\"calcdash-ad not-prose calcdash-ad--calc_result calcdash-ad--in-article\"><ins class=\"adsbygoogle\" style=\"display:block\" data-ad-client=\"ca-pub-1721569815777345\" data-ad-slot=\"6317458308\" data-ad-layout=\"in-article\" data-ad-format=\"fluid\"><\/ins><script>(adsbygoogle = window.adsbygoogle || []).push({});<\/script><\/div>\n<style id=\"wpcoderpro-inline-1\">.formula-box {\r\n\tborder-bottom: none !important;\r\n}<\/style><section class=\"formula-box\" aria-labelledby=\"formula-title\">\r\n\t<div id=\"formula-title\" class=\"not-prose font-display mb-4\"><span class=\"icon icon-formula\" aria-hidden=\"true\"><\/span><h2>Formule de la natr\u00e9mie corrig\u00e9e (Katz et Hillier)<\/h2><\/div>\r\n\t<figure class=\"not-prose formula\">\r\n\t\t<figcaption class=\"formula-title\">Formule<\/figcaption>\r\n\t\t<div class=\"text-base text-gray-800\" id=\"formula\">\n\\[ \\text{Na}_{\\text{corrig\u00e9}} = \\text{Na}_{\\text{mesur\u00e9}} + 1.6 \\times \\frac{\\text{Glucose} - 100}{100} \\]\n\\[ \\text{Na}_{\\text{corrig\u00e9}} = \\text{Na}_{\\text{mesur\u00e9}} + 2.4 \\times \\frac{\\text{Glucose} - 100}{100} \\]\n<\/div>\r\n\t<\/figure>\r\n\t<\/p>\n<p><strong>Avec :<\/strong><\/p>\n<ul>\n<li>\\(\\text{Na}_{\\text{mesur\u00e9}}\\) \u2014 la natr\u00e9mie indiqu\u00e9e sur le compte rendu de laboratoire (mEq\/L)<\/li>\n<li>\\(\\text{Glucose}\\) \u2014 la glyc\u00e9mie en mg\/dL (si elle est mesur\u00e9e en mmol\/L, la multiplier d\u2019abord par 18,0182)<\/li>\n<li>\\(1.6\\) \u2014 le facteur de correction de Katz (1973), en mEq\/L de sodium pour chaque tranche de 100 mg\/dL de glucose au-dessus de 100 mg\/dL<\/li>\n<li>\\(2.4\\) \u2014 le facteur de correction de Hillier (1999), en mEq\/L pour chaque tranche de 100 mg\/dL au-dessus de 100 mg\/dL<\/li>\n<\/ul>\n<p>La premi\u00e8re \u00e9quation correspond \u00e0 la correction classique de Katz ; la seconde, \u00e0 celle de Hillier, qui tient compte de la relation plus marqu\u00e9e entre la natr\u00e9mie et la glyc\u00e9mie observ\u00e9e lorsque la glyc\u00e9mie est tr\u00e8s \u00e9lev\u00e9e. Toutes deux expriment la m\u00eame id\u00e9e : chaque augmentation de la glyc\u00e9mie de 100 mg\/dL au-dessus de 100 mg\/dL entra\u00eene une baisse pr\u00e9visible de la natr\u00e9mie, car l\u2019eau passe des cellules vers le secteur extracellulaire.<\/p>\n<p>\r\n<\/section>\n<style id=\"wpcoderpro-inline-2\">.calculation-box {\r\n\tborder-bottom: none !important;\r\n}<\/style><section id=\"calculation\" class=\"calculation-box\" aria-labelledby=\"calculation-title\">\r\n\t<div id=\"calculation-title\" class=\"not-prose font-display\"><span class=\"icon icon-unordered-list\" aria-hidden=\"true\"><\/span><h2>Natr\u00e9mie corrig\u00e9e \u2013 exemple de calcul<\/h2><\/div>\r\n\r\n<\/p>\n<p><strong>Exemple :<\/strong> un patient atteint d\u2019acidoc\u00e9tose diab\u00e9tique pr\u00e9sente une natr\u00e9mie mesur\u00e9e de 130 mEq\/L et une glyc\u00e9mie de 600 mg\/dL.<\/p>\n<p>\\[ \\text{Katz :} \\quad 130 + 1.6 \\times \\frac{600 - 100}{100} = 130 + 1.6 \\times 5 = 138 \\text{ mEq\/L} \\]<\/p>\n<p>\\[ \\text{Hillier :} \\quad 130 + 2.4 \\times \\frac{600 - 100}{100} = 130 + 2.4 \\times 5 = 142 \\text{ mEq\/L} \\]<\/p>\n<p><strong>R\u00e9sultat :<\/strong> la natr\u00e9mie corrig\u00e9e est de 138 mEq\/L selon la m\u00e9thode de Katz et de 142 mEq\/L selon celle de Hillier. Bien que la natr\u00e9mie mesur\u00e9e de 130 mEq\/L \u00e9voque une hyponatr\u00e9mie, les valeurs corrig\u00e9es montrent que la natr\u00e9mie r\u00e9elle est normale, voire \u00e9lev\u00e9e, ce qui modifie \u00e0 la fois le diagnostic et la prise en charge par apport de liquides.<\/p>\n<p>\n\r\n<\/section>\n<h2>Comment utiliser le calculateur<\/h2>\n<ol>\n<li>Saisissez la <strong>Natr\u00e9mie mesur\u00e9e<\/strong> figurant sur le bilan biologique du patient, en mEq\/L.<\/li>\n<li>Saisissez la <strong>Glyc\u00e9mie<\/strong> issue du m\u00eame pr\u00e9l\u00e8vement sanguin ou d\u2019un pr\u00e9l\u00e8vement r\u00e9cent.<\/li>\n<li>S\u00e9lectionnez la bonne <strong>Unit\u00e9 de glyc\u00e9mie<\/strong> \u2014 mg\/dL ou mmol\/L. Le calculateur convertit automatiquement les mmol\/L en mg\/dL (en multipliant par 18,0182).<\/li>\n<li>Consultez les deux r\u00e9sultats : <strong>Natr\u00e9mie corrig\u00e9e (Katz, 1973)<\/strong> et <strong>Natr\u00e9mie corrig\u00e9e (Hillier, 1999)<\/strong>, tous deux en mEq\/L.<\/li>\n<li>Si les deux valeurs diff\u00e8rent sensiblement, gardez \u00e0 l\u2019esprit que l\u2019\u00e9cart augmente avec la glyc\u00e9mie et interpr\u00e9tez-les toutes deux \u00e0 la lumi\u00e8re du tableau clinique.<\/li>\n<\/ol>\n<h2>Qu\u2019est-ce que la natr\u00e9mie corrig\u00e9e et pourquoi est-elle importante ?<\/h2>\n<p>La natr\u00e9mie corrig\u00e9e estime ce que <em>serait<\/em> la natr\u00e9mie si la glyc\u00e9mie \u00e9lev\u00e9e \u00e9tait ramen\u00e9e \u00e0 une valeur normale d\u2019environ 100 mg\/dL. Une glyc\u00e9mie \u00e9lev\u00e9e cr\u00e9e un gradient osmotique qui attire l\u2019eau du secteur intracellulaire vers les vaisseaux sanguins, diluant ainsi le sodium s\u00e9rique. On parle d\u2019<strong>hyponatr\u00e9mie de transfert<\/strong> : la natr\u00e9mie mesur\u00e9e est basse, mais l\u2019organisme n\u2019a en r\u00e9alit\u00e9 perdu aucun sodium.<\/p>\n<p>La cons\u00e9quence est concr\u00e8te. Chez un patient hyperglyc\u00e9mique dont la natr\u00e9mie mesur\u00e9e est de 130 mEq\/L, la valeur corrig\u00e9e peut \u00eatre tout \u00e0 fait normale. Traiter ce patient par une administration intensive de s\u00e9rum sal\u00e9 hypertonique serait une erreur ; le traitement appropri\u00e9 repose sur l\u2019insuline et l\u2019apport de liquides pour abaisser la glyc\u00e9mie. La natr\u00e9mie augmentera alors d\u2019elle-m\u00eame, g\u00e9n\u00e9ralement d\u2019environ 1,6 \u00e0 2,4 mEq\/L pour chaque baisse de la glyc\u00e9mie de 100 mg\/dL. La natr\u00e9mie corrig\u00e9e permet donc d\u2019\u00e9viter \u00e0 la fois le traitement excessif de<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Estime la natr\u00e9mie corrig\u00e9e en cas d\u2019hyperglyc\u00e9mie \u00e0 l\u2019aide des facteurs de correction de Katz (1,6 mEq\/L pour 100 mg\/dL) et de Hillier (2,4 mEq\/L). Saisissez la natr\u00e9mie mesur\u00e9e et la glyc\u00e9mie pour obtenir les deux r\u00e9sultats.<\/p>\n","protected":false},"author":3168,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[30],"tags":[32],"class_list":["post-144","post","type-post","status-publish","format-standard","hentry","category-medical","tag-pharmacologie"],"acf":[],"_links":{"self":[{"href":"https:\/\/wpcalc.com\/fr\/wp-json\/wp\/v2\/posts\/144","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wpcalc.com\/fr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wpcalc.com\/fr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wpcalc.com\/fr\/wp-json\/wp\/v2\/users\/3168"}],"replies":[{"embeddable":true,"href":"https:\/\/wpcalc.com\/fr\/wp-json\/wp\/v2\/comments?post=144"}],"version-history":[{"count":2,"href":"https:\/\/wpcalc.com\/fr\/wp-json\/wp\/v2\/posts\/144\/revisions"}],"predecessor-version":[{"id":5237,"href":"https:\/\/wpcalc.com\/fr\/wp-json\/wp\/v2\/posts\/144\/revisions\/5237"}],"wp:attachment":[{"href":"https:\/\/wpcalc.com\/fr\/wp-json\/wp\/v2\/media?parent=144"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wpcalc.com\/fr\/wp-json\/wp\/v2\/categories?post=144"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wpcalc.com\/fr\/wp-json\/wp\/v2\/tags?post=144"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}