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Plasma Osmolality

Meaning

Plasma osmolality is a precise measure of the concentration of all dissolved solute particles in the blood plasma, primarily determined by sodium, glucose, and urea, and is expressed in milliosmoles per kilogram of water. This metric is a critical physiological parameter tightly regulated by the neuroendocrine system to maintain fluid balance and cellular volume across the body. Clinically, plasma osmolality provides an immediate snapshot of hydration status and is essential for diagnosing conditions like diabetes insipidus or severe dehydration, which directly involve the dysregulation of the hormone Vasopressin (Antidiuretic Hormone). Maintaining a narrow, stable range is paramount for neurological and renal function.