Sunquest Code:CA  
Epic Code:LAB53Epic Name:Calcium
Methodology:Bichromatic end point
Turnaround Time:Performed and reported 24 hours/day.

Collection Instructions

Optimal Volume:2.5 mL
Minimum\Peds Volume:0.6 mL
Container:Green (lithium heparin, gel) (Green (lithium heparin) on ICE, Green (sodium heparin, no gel), Green (sodium heparin, no gel) on ICE, Red (no gel), Red or gold (gel))
Collection Instructions:Some diurnal variation is observed, so a morning, fasting sample is preferred. Approximately half of serum calcium is bound to proteins; therefore, posture will produce variation in results.

Processing and Shipping

Specimen Processing:Centrifuge and aliquot 1.25 mL, 0.2 mL minimum. Refrigerate immediately and maintain anaerobically if sample will not be tested within 4 hours.
Shipping Instructions:Ship at refrigerated temperature.
Stability:Stability: Refrigerated - 7 days; frozen - 6 months.
Test Performed at or Referral Lab Chemistry  (University of Minnesota Health Maple Grove Clinics, Fairview Range - FRMC, UMMC-East Bank, Oxboro Bloom, Fairview Lakes - FLMC, Fairview Ridges - FRH, Fairview Northland - FNMC, Fairview Southdale - FSH, UMMC/UMMCH-West Bank, M Health Clinic and Surgery Center, Grand Itasca GICH)


Critical Range:
Less than 6.0 mg/dL.
Range only: Less than 6.0 mg/dL and greater than 12.0 mg/dL.  
Reference Range:
Age mg/dL
0 - 11 mo 8.5-10.7
1 - 18 y 9.1-10.3
19 y and older 8.5-10.1
 GICH: All ages 8.6-10.3 mg/dL  
Limitations:Calcium added after 4 hours may be elevated by up to 0.4 mg/dL if the container is not refrigerated and maintained anaerobically.

When hypocalcemia or hypercalcemia is suspected, or to monitor treatment for calcemic disorder.    

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