Διόρθωση Ασβεστίου — Υπολογιστής αλβουμίνης
Υπολογισμός διορθωμένου ασβεστίου για υποαλβουμιναιμία — τύπος διόρθωσης για κλινική χρήση
Serum calcium
Serum albumin
Corrected calcium
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Επιπλέον πληροφορίες
Προειδοποίηση
Αυτό το εργαλείο προορίζεται μόνο για εκπαιδευτικούς σκοπούς, δεν αντιπροσωπεύει και δεν αντικαθιστά επαγγελματικές συμβουλές. Αυτό το εργαλείο δεν πρέπει να χρησιμοποιείται για την παροχή ιατρικών διαγνώσεων ή/και ιατρικών θεραπειών.
General description
Total serum calcium consists of several fractions. A large fraction is bound to inorganic and organic anions, mainly albumin. Therefore, the total serum calcium measurement may underestimate the level of biologically active calcium, especially in patients with low albumin levels. In these patients the Payne formula is commonly used to adjust the measured total serum calcium concentration.
The formula was published in 1973 but has since then been shown to be inaccurate in certain patients, especially patients with renal failure; in these cases, measurement of ionized calcium level is recommended.
Total serum calcium consists of several fractions. A large fraction is bound to inorganic and organic anions, mainly albumin. Therefore, the total serum calcium measurement may underestimate the level of biologically active calcium, especially in patients with low albumin levels. In these patients the Payne formula is commonly used to adjust the measured total serum calcium concentration.
The formula was published in 1973 but has since then been shown to be inaccurate in certain patients, especially patients with renal failure; in these cases, measurement of ionized calcium level is recommended.
Formula
Corrected Calcium [mmol/L] = (0.02 * (Normal albumin - Serum albumin)) + Serum calcium
Normal albumin = 40 g/L = 4 g/dL
Corrected Calcium [mg/dL] = (0.8 * (Normal albumin - Serum albumin)) + Serum calcium
Normal albumin = 40 g/L = 4 g/dL
References
Payne, R. B., et al. “Interpretation of Serum Calcium in Patients With Abnormal Serum Proteins.” BMJ, vol. 4, no. 5893, BMJ, Dec. 1973, pp. 643–46. https://doi.org/10.1136/bmj.4.5893.643.
Έκδοση
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Σχετικά με αυτό το εργαλείο
Total serum calcium consists of several fractions. A large fraction is bound to inorganic and organic anions, mainly albumin. Therefore, the total serum calcium measurement may underestimate the level of biologically active calcium, especially in patients with low albumin levels. In these patients the Payne formula is commonly used to adjust the measured total serum calcium concentration.
The formula was published in 1973 but has since then been shown to be inaccurate in certain patients, especially patients with renal failure; in these cases, measurement of ionized calcium level is recommended.
The formula was published in 1973 but has since then been shown to be inaccurate in certain patients, especially patients with renal failure; in these cases, measurement of ionized calcium level is recommended.
