Target intelligence / Profile preview

Blood plasma osmolality (Plasma osmolality)

Target
Plasma osmolality
Molecular classification
Other (clinical parameter; not classified as receptor, ion channel, enzyme, transporter, transcription factor, etc.)
01

Overview

Blood plasma osmolality is a quantitative measure of the concentration of dissolved particles (osmoles per kilogram) in plasma, primarily influenced by levels of sodium, glucose, and urea[1][3][6]. It reflects the balance between water and solutes in vascular fluid and is tightly regulated through renal function and antidiuretic hormone (ADH) activity. The normal value ranges from 275 to 295 mOsm/kg[1][5][7]. Abnormal plasma osmolality can indicate underlying medical conditions ranging from dehydration, diabetes insipidus, and SIADH to congestive heart failure, liver disease, or intoxication with toxins like methanol or ethylene glycol[1][2][4][6]. Measurement is important for diagnosing and monitoring states of abnormal fluid and electrolyte balance; its clinical management is crucial for avoiding neurologic complications (such as seizures, coma, or brain edema)[4][5][6]. There is no molecule or receptor named "Blood plasma osmolality"; this entry is a clinical laboratory parameter and does not adhere to standard molecular target definitions.

Other names
Serum osmolalityplasma osmolalityosmolality serum
02

Mechanism of action

Drugs alter plasma osmolality either by influencing water balance (diuretics, ADH analogs/antagonists) or by increasing osmotically active substances in the blood (mannitol, toxins)

03

Biological functions

Maintenance of fluid and electrolyte balanceregulation of blood volume and tonicitystimulus for antidiuretic hormone (ADH/vasopressin) secretion
04

Disease associations

DehydrationDiabetes insipidusHyponatremia/hypernatremia (low/high sodium)Congestive heart failureLiver disease/cirrhosisRenal (kidney) diseaseSubstance intoxication/poisoningStroke
05

Safety considerations

Rapid correction of severe hyponatremia or hypernatremia can lead to central pontine myelinolysis or cerebral edema.High plasma osmolality values may indicate underlying toxic ingestion, which may need emergency management (seizures, coma, shock risk).Fluid overload or dehydration states can cause significant morbidity and mortality if misdiagnosed or inappropriately managed
06

Interacting drugs

Diuretics

5 more in the full profile.

07

Biomarkers

Blood plasma osmolality itself serves as a biomarker for fluid/electrolyte imbalance, dehydration, SIADH, diabetes insipidus, intoxication, kidney/liver/cardiac dysfunction

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