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Calculators/Serum Osmolality

Serum Osmolality Calculator

Calculated serum osmolality from sodium, glucose and urea

Equation & limitations

Equation
Osmolality = 2 × Na + glucose/18 + BUN/2.8 (mg/dL units)
Version
Standard calculated-osmolality formula (mg/dL units)
Source
Defined by Pharmapedia for this tool; standard textbook formula.
Appropriate in
Adults where measured osmolality is not available.
Limitations
  • Only sodium, glucose and urea are included. Ethanol, methanol and other solutes are not captured.
  • The osmolar GAP needs a measured osmolality and is not computed by this tool.
  • If glucose/BUN are entered in mmol/L the result is wrong — this formula is mg/dL-specific.

For educational use. Results support, and do not replace, clinical judgement — check them against the patient and local guidelines.