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Hypocalcemia Testing Algorithm

The document discusses testing for hypocalcemia and provides guidance on ordering tests based on symptoms and initial test results. It outlines steps to take including ordering calcium, phosphorus, albumin, magnesium, creatinine and PTH tests and follow up tests based on the results of the initial batch.

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210 views1 page

Hypocalcemia Testing Algorithm

The document discusses testing for hypocalcemia and provides guidance on ordering tests based on symptoms and initial test results. It outlines steps to take including ordering calcium, phosphorus, albumin, magnesium, creatinine and PTH tests and follow up tests based on the results of the initial batch.

Uploaded by

Anonymous HdHd7eP
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Hypocalcemia Testing

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INDICATIONS FOR TESTING


Suspect hypocalcemia
Symptoms: muscle cramping, tetany, tingling

ORDER
Calcium, Serum or Plasma
Also order:
Phosphorus, Inorganic, Plasma or Serum
Albumin, Serum by Spectrophotometry
Magnesium, Plasma or Serum
Creatinine, Serum or Plasma

LOW CORRECTED CALCIUM


Corrected calcium = measured
total calcium +0.8 (4.0 - serum
albumin)

ORDER
Parathyroid Hormone,
Intact

Low Normal High

Creatinine normal Creatinine high


Creatinine normal
Creatinine normal Phosphorus Phosphorus
Phosphorus
Phosphorus low or normal or low normal or high
normal or high
normal Magnesium Magnesium
Magnesium normal normal normal

ORDER
Vitamin D, 25-
Magnesium Magnesium Albumin low Hydroxy
low normal

low

Magnesium Hypoalbuminemia Renal disease


Hypoparathyroidism Vitamin D deficiency or
deficiency (Pseudohypocalcemia)
Pseudohypoparathyroidism

2006 ARUP Laboratories. All Rights Reserved. Revised 05/16/2011 www.arupconsult.com

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