Calcium

Test Sample Type

  • Serum, urine

Normal Values

  • Serum
    1. Adult: 8.2-10.2 mg/dl.
    2. Infant-1 month: 7-11.5 mg/dl.
    3. Child, 1month-1 year: 8.6-11.2 mg/dl
  • Urine
  • Adult: 100-300 mg/day,
    1. Infant and child: < 6 mg/kg/day

Purpose of the Test

  • To assist in diagnosis of acid-base imbalance, coagulation disorders, pathologic bone disorders, endocrine disorders, cardiac arrhythmia, muscle disorders

Increase in

  • Hyperparathyroidism.
  • Polycythemia vera
  • Metastatic cancer
  • Pheochromocytoma
  • Multiple myeloma
  • Sarcoidosis
  • Vitamin D intoxication,
  • Thyrotoxicosis,
  • Adrenal insufficiency
  • Bacteremia
  • Milk-alkali syndrome
  • Dehydration
  • Overdose of calcium antacids
  • Paget’s disease
  • Idiopathic hypercalcemia of infancy.

Decrease

  • Hypoparathyroidism
  • Acute pancreatitis
  • Vitamin-D deficiency
  • Chronic renal failure
  • Anterior pituitary hypofunction
  • Alcoholism
  • Renal tubular disease
  • Hypoalbuminemia
  • Cirrhosis of the liver
  • Massive blood transfusion
  • Malnutrition
  • Neonatal Prematurity
  • Prolonged intravenous fluid therapy

Interfering Factors

Hemolysis, prolonged storage of blood specimen.