Bicarbonate Deficit + Sodium Deficit

Bicarbonate and sodium deficit estimates from total body water (sex-based fraction), measured vs target values.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Weight
70 kg
Sex
Male (0.6)
Measured HCO3
14 mEq/L
Target HCO3
24 mEq/L
Measured Na
120 mEq/L
Target Na
135 mEq/L

Result: HCO3 deficit 350 mEq; Na deficit 630 mEq (limit Na correction to <=8 mEq/L/24h).

The tool opens with these values already filled in. Replace them with your own.

What you enter

  • Weight
  • Sex (TBW fraction)
  • Measured HCO3
  • Target HCO3
  • Measured Na
  • Target Na
How this is calculated

Adrogue HJ, Madias NE. NEJM. 2000;342(20):1493-1499 (sodium). HCO3 deficit = 0.5 x weight x (target - measured); Na deficit = TBW x (target - measured). Deficit estimates, not infusion rates. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.