A patient has a total calcium of 7.6 mg per deciliter and an albumin of 2.0 g per deciliter. How should this r…

Question

A patient has a total calcium of 7.6 mg per deciliter and an albumin of 2.0 g per deciliter. How should this result be interpreted?

Accepted Answer

보기 2: The total calcium is decreased because of the low albumin, and the corrected value is near normal

A large fraction of calcium circulates bound to albumin, so a low albumin lowers the total calcium even when the physiologically active ionized calcium is normal. Adding approximately 0.8 mg/dL to the total calcium for every 1 g/dL decrease in albumin brings the value near normal. Do not diagnose hypocalcemia without this correction.

Answer

보기 1: True hypocalcemia requiring immediate intravenous calcium replacement and monitoring

Answer

보기 3: The result indicates primary hyperparathyroidism and further parathyroid hormone testing is needed

Answer

보기 4: The specimen must be recollected because the value is not interpretable

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A patient has a total calcium of 7.6 mg per deciliter and an albumin of 2.0 g per deciliter. How should this result be interpreted?

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