Isotonic hyponatremia shift of water from cells to the bloodstream after large infusions of mannitol or intravenous immunoglobulin. It is associated with hyperlipidemia more frequently than with elevated protein. Isotonic hyponatremia Isotonic hyponatremia is a form of hyponatremia with mOsm measured between 280 and 295. It can be associated with pseudohyponatremia, or with isotonic infusion of glucose or mannitol. Certain conditions, such as extraordinarily high blood levels of lipid (hyperlipidemia/hypertriglyceridemia) or protein (hyperparaproteinemia), magnify the electrolyte exclusion effect. This interferes with the measurement of serum sodium concentration by certain methods, leading to an erroneously low "measurement" of sodium, or pseudohyponatremia. The methods
Serum-separating tube particles to cause blood to clot quickly. The blood sample may then be centrifuged, allowing the clear serum to be removed for testing. These tubes should be used with care when measuring drug or hormone levels because the drug or hormone may diffuse from the serum into the gel, causing a reduction in measured level. The gel in SST II tubes (which appears slightly less opaque) is supposed to have less effect on drug levels in serum. Serum-separating tube Serum-separating tubes, also known as serum separator tubes or SSTs, are used in medical clinical chemistry tests requiring blood serum. SSTs