{"id":230,"date":"2026-10-03T13:00:59","date_gmt":"2026-10-03T12:00:59","guid":{"rendered":"https:\/\/wpcalc.com\/tr\/duzeltilmis-sodyum-hesaplama\/"},"modified":"2026-10-03T13:00:59","modified_gmt":"2026-10-03T12:00:59","slug":"duzeltilmis-sodyum-hesaplama","status":"publish","type":"post","link":"https:\/\/wpcalc.com\/tr\/tisbi\/duzeltilmis-sodyum-hesaplama\/","title":{"rendered":"D\u00fczeltilmi\u015f Sodyum (Hiperlisemi) Hesaplama Arac\u0131"},"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\">Hiperlisemi Sodyum D\u00fczeltmesi<\/h2><\/div><div class=\"calcdash-favorite group\">\n  <button type=\"button\" class=\"favorite\" id=\"favorite\" data-favorite-id=\"230\" data-favorite-title=\"D\u00fczeltilmi\u015f Sodyum (Hiperlisemi)\" data-favorite-url=\"https:\/\/wpcalc.com\/tr\/tisbi\/duzeltilmis-sodyum-hesaplama\/\" data-favorite-excerpt=\"D\u00fczeltilmi\u015f serum sodyumunu hiperlisemide Katz (100 mg\/dL ba\u015f\u0131na 1,6 mEq\/L) ve Hillier (2,4 mEq\/L) d\u00fczeltme fakt\u00f6rleriyle tahmin eder. Her iki sonucu g\u00f6rmek i\u00e7in \u00f6l\u00e7\u00fclen sodyum ve serum glukozu de\u011ferlerini girin.\" aria-label=\"Favorilere ekle\" 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\/tr\/tisbi\/duzeltilmis-sodyum-hesaplama\/\" method=\"POST\" class=\"calculator\" id=\"calculator-230\" data-post=\"230\"><fieldset class=\"fieldset-input is-1\"><legend class=\"sr-only\">Giri\u015f alanlar\u0131<\/legend><div class=\"field has-term\" id=\"input-1\"><label for=\"field-1\">\u00d6l\u00e7\u00fclen sodyum<\/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=\"llen_sodyum\" id=\"field-1\" aria-describedby=\"calc-unit-1\" data-number inputmode=\"decimal\" autocomplete=\"off\" spellcheck=\"false\" placeholder=\"Sodyum (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\">Serum glukozu<\/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=\"serum_glukozu\" id=\"field-2\" data-number inputmode=\"decimal\" autocomplete=\"off\" spellcheck=\"false\" placeholder=\"Glukoz\" min=\"70\" max=\"105\" value=\"90\"\/><\/div><div class=\"field\" id=\"input-3\"><label for=\"field-3\">Glukoz birimi<\/label><div class=\"grid grid-cols-1\"><select id=\"field-3\" name=\"glukoz_birimi\"><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=\"Yeniden hesapla\" id=\"calculate-button\" data-post=\"230\">Hesapla<\/button><button type=\"reset\">S\u0131f\u0131rla<\/button><\/div><div class=\"field is-checkbox hidden!\" id=\"field-auto-calc\"><input type=\"checkbox\" id=\"auto-calc\"><label for=\"auto-calc\">Otomatik hesapla<\/label><small>Etkinle\u015ftirilirse, herhangi bir de\u011feri de\u011fi\u015ftirdi\u011finizde sonu\u00e7 otomatik olarak g\u00fcncellenir.<\/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> Sonu\u00e7lar\u0131n\u0131z<\/h3><div class=\"result-box\"><div class=\"field-result\" id=\"output-1\"><span class=\"field-title\"><span>D\u00fczeltilmi\u015f sodyum (Katz, 1973):<\/span><\/span><span class=\"field-value\" id=\"result-1\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Sonucu kopyala\" aria-label=\"Sonucu kopyala\"><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>D\u00fczeltilmi\u015f sodyum (Hillier, 1999):<\/span><\/span><span class=\"field-value\" id=\"result-2\"><\/span><button type=\"button\" class=\"copy-result\" data-tooltip=\"Sonucu kopyala\" aria-label=\"Sonucu kopyala\"><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\">Bu hesaplaman\u0131n ba\u011flant\u0131s\u0131n\u0131 kopyala<\/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>Yorum b\u0131rak<\/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=\"230\" aria-live=\"polite\" aria-labelledby=\"calc-reactions-title\"><p id=\"calc-reactions-title\" class=\"text-sm text-gray-500 text-center mb-2\">Bu sonu\u00e7 hakk\u0131nda ne d\u00fc\u015f\u00fcn\u00fcyorsunuz?<\/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\">Be\u011fendim <\/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\">Faydal\u0131 <\/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\">Kafam kar\u0131\u015ft\u0131 <\/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\">Hayal k\u0131r\u0131kl\u0131\u011f\u0131 <\/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\">Hatal\u0131 <\/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>D\u00fczeltilmi\u015f Sodyum Form\u00fcl\u00fc (Katz ve Hillier)<\/h2><\/div>\r\n\t<figure class=\"not-prose formula\">\r\n\t\t<figcaption class=\"formula-title\">Form\u00fcl<\/figcaption>\r\n\t\t<div class=\"text-base text-gray-800\" id=\"formula\">\n\\[ \\text{D\u00fczeltilmi\u015f Na} = \\text{\u00d6l\u00e7\u00fclen Na} + 1.6 \\times \\frac{\\text{Glukoz} - 100}{100} \\]\n\\[ \\text{D\u00fczeltilmi\u015f Na} = \\text{\u00d6l\u00e7\u00fclen Na} + 2.4 \\times \\frac{\\text{Glukoz} - 100}{100} \\]\n<\/div>\r\n\t<\/figure>\r\n\t<\/p>\n<p><strong>Burada:<\/strong><\/p>\n<ul>\n<li>\\(\\text{\u00d6l\u00e7\u00fclen Na}\\) \u2014 laboratuvar raporundaki serum sodyumu (mEq\/L)<\/li>\n<li>\\(\\text{Glukoz}\\) \u2014 mg\/dL cinsinden serum glukozu (mmol\/L olarak \u00f6l\u00e7\u00fcld\u00fcyse \u00f6nce 18,0182 ile \u00e7arp\u0131n)<\/li>\n<li>\\(1.6\\) \u2014 Katz'\u0131n (1973) d\u00fczeltme fakt\u00f6r\u00fc, 100 mg\/dL'nin \u00fczerindeki her 100 mg\/dL glukoz i\u00e7in mEq\/L cinsinden sodyum d\u00fczeltmesi<\/li>\n<li>\\(2.4\\) \u2014 Hillier'in (1999) d\u00fczeltme fakt\u00f6r\u00fc, 100 mg\/dL'nin \u00fczerindeki her 100 mg\/dL i\u00e7in mEq\/L cinsinden<\/li>\n<\/ul>\n<p>\u0130lk denklem klasik Katz d\u00fczeltmesidir; ikincisi ise \u00e7ok y\u00fcksek glukoz konsantrasyonlar\u0131nda g\u00f6zlenen daha g\u00fc\u00e7l\u00fc sodyum\u2013glukoz ili\u015fkisini hesaba katan Hillier d\u00fczeltmesidir. \u0130kisi de ayn\u0131 fikri ifade eder: glukoz 100 mg\/dL'nin \u00fczerine her 100 mg\/dL y\u00fckseldi\u011finde, h\u00fccrelerden ekstrasell\u00fcler alana su \u00e7ekildi\u011fi i\u00e7in serum sodyumu \u00f6ng\u00f6r\u00fclebilir bir miktarda d\u00fc\u015fer.<\/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>D\u00fczeltilmi\u015f Sodyum \u2013 Hesaplama \u00d6rne\u011fi<\/h2><\/div>\r\n\r\n<\/p>\n<p><strong>\u00d6rnek:<\/strong> diyabetik ketoasidozu olan bir hastada \u00f6l\u00e7\u00fclen serum sodyumu 130 mEq\/L ve serum glukozu 600 mg\/dL'dir.<\/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>Sonu\u00e7:<\/strong> d\u00fczeltilmi\u015f sodyum Katz y\u00f6ntemine g\u00f6re 138 mEq\/L, Hillier y\u00f6ntemine g\u00f6re 142 mEq\/L'dir. \u00d6l\u00e7\u00fclen sodyumun 130 mEq\/L olmas\u0131 hiponatremiyi d\u00fc\u015f\u00fcnd\u00fcrse de, d\u00fczeltilmi\u015f de\u011ferler ger\u00e7ek sodyum durumunun normal hatta y\u00fcksek oldu\u011funu g\u00f6sterir; bu da hem tan\u0131y\u0131 hem de s\u0131v\u0131 y\u00f6netimini de\u011fi\u015ftirir.<\/p>\n<p>\n\r\n<\/section>\n<h2>Hesaplama arac\u0131 nas\u0131l kullan\u0131l\u0131r?<\/h2>\n<ol>\n<li>Hastan\u0131n biyokimya panelindeki <strong>\u00d6l\u00e7\u00fclen sodyum<\/strong> de\u011ferini mEq\/L cinsinden girin.<\/li>\n<li>Ayn\u0131 veya yak\u0131n zamanda al\u0131nm\u0131\u015f kan \u00f6rne\u011findeki <strong>Serum glukozu<\/strong> de\u011ferini girin.<\/li>\n<li>Do\u011fru <strong>Glukoz birimini<\/strong> se\u00e7in \u2014 mg\/dL veya mmol\/L. Hesaplama arac\u0131 mmol\/L'yi otomatik olarak mg\/dL'ye \u00e7evirir (18,0182 ile \u00e7arpar).<\/li>\n<li>Her iki sonucu okuyun: <strong>D\u00fczeltilmi\u015f sodyum (Katz, 1973)<\/strong> ve <strong>D\u00fczeltilmi\u015f sodyum (Hillier, 1999)<\/strong>, her ikisi de mEq\/L cinsinden.<\/li>\n<li>\u0130ki de\u011fer \u00f6nemli \u00f6l\u00e7\u00fcde farkl\u0131ysa, fark\u0131n daha y\u00fcksek glukoz d\u00fczeylerinde b\u00fcy\u00fcd\u00fc\u011f\u00fcn\u00fc unutmay\u0131n ve her ikisini birlikte klinik tabloyla yorumlay\u0131n.<\/li>\n<\/ol>\n<h2>D\u00fczeltilmi\u015f sodyum nedir ve neden \u00f6nemlidir?<\/h2>\n<p>D\u00fczeltilmi\u015f sodyum, y\u00fckselmi\u015f glukoz yakla\u015f\u0131k 100 mg\/dL'lik normal d\u00fczeye indirilseydi serum sodyumunun <em>ne olaca\u011f\u0131n\u0131<\/em> tahmin eder. Y\u00fcksek kan glukozu, h\u00fccre i\u00e7i alandan damarlara su \u00e7eken ozmotik bir gradyan olu\u015fturur ve serumdaki sodyum konsantrasyonunu seyreltir. Buna <strong>translokasyonel hiponatremi<\/strong> denir: \u00f6l\u00e7\u00fclen sodyum d\u00fc\u015f\u00fckt\u00fcr, ancak v\u00fccuttan ger\u00e7ekten hi\u00e7 sodyum kaybolmam\u0131\u015ft\u0131r.<\/p>\n<p>Bunun pratik bir sonucu vard\u0131r. \u00d6l\u00e7\u00fclen sodyumu 130 mEq\/L olan bir hiperlisemik hastada d\u00fczeltilmi\u015f de\u011fer tamamen normal olabilir. B\u00f6yle bir hastay\u0131 agresif hipertonik salin ile tedavi etmek bir hata olur; do\u011fru tedavi, glukozu d\u00fc\u015f\u00fcrmek i\u00e7in ins\u00fclin ve s\u0131v\u0131 verilmesidir; bunun ard\u0131ndan sodyum kendili\u011finden y\u00fckselir \u2014 tipik olarak glukoz her 100 mg\/dL d\u00fc\u015ft\u00fc\u011f\u00fcnde yakla\u015f\u0131k 1,6\u20132,4 mEq\/L y\u00fckselir. D\u00fczeltilmi\u015f sodyum bu nedenle hem a\u015f\u0131r\u0131 tedaviyi \u00f6nler,<\/p>\n","protected":false},"excerpt":{"rendered":"<p>D\u00fczeltilmi\u015f serum sodyumunu hiperlisemide Katz (100 mg\/dL ba\u015f\u0131na 1,6 mEq\/L) ve Hillier (2,4 mEq\/L) d\u00fczeltme fakt\u00f6rleriyle tahmin eder. Her iki sonucu g\u00f6rmek i\u00e7in \u00f6l\u00e7\u00fclen sodyum ve serum glukozu de\u011ferlerini girin.<\/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":[11],"tags":[60],"class_list":["post-230","post","type-post","status-publish","format-standard","hentry","category-tisbi","tag-farmakoloji"],"acf":[],"_links":{"self":[{"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/posts\/230","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/users\/3168"}],"replies":[{"embeddable":true,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/comments?post=230"}],"version-history":[{"count":0,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/posts\/230\/revisions"}],"wp:attachment":[{"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/media?parent=230"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/categories?post=230"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wpcalc.com\/tr\/wp-json\/wp\/v2\/tags?post=230"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}