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Alternative NamesCa+2; Calcium - blood; Ca++
Definition Return to top
Serum calcium is a laboratory test to measure the amount of calcium in your blood.
All cells need calcium in order to work. Calcium helps build strong bones and teeth. It is important for heart function, and helps with muscle contraction, nerve signaling, and blood clotting.
Calcium can also be measured in the urine. See: Calcium - urine test
How the Test is Performed Return to top
Blood is typically drawn from a vein, usually from the inside of the elbow or the back of the hand. The site is cleaned with germ-killing medicine (antiseptic). The health care provider wraps an elastic band around the upper arm to apply pressure to the area and make the vein swell with blood.
Next, the health care provider gently inserts a needle into the vein. The blood collects into an airtight vial or tube attached to the needle. The elastic band is removed from your arm.
Once the blood has been collected, the needle is removed, and the puncture site is covered to stop any bleeding.
In infants or young children, a sharp tool called a lancet may be used to puncture the skin and make it bleed. The blood collects into a small glass tube called a pipette, or onto a slide or test strip. A bandage may be placed over the area if there is any bleeding.
How to Prepare for the Test Return to top
Your health care provider will instruct you, if necessary, to discontinue drugs that may interfere with the test.
Drugs that can increase calcium levels include:
Drinking too much milk or taking too much vitamin D as a dietary supplement can also increase calcium levels.
How the Test Will Feel Return to top
When the needle is inserted to draw blood, some people feel moderate pain, while others feel only a prick or stinging sensation. Afterward, there may be some throbbing.
Why the Test is Performed Return to top
This test is usually done to screen for bone diseases or diseases of the parathyroid gland or kidneys. It can also be done to monitor patients with such conditions.
A separate test measures calcium that is freely flowing in your blood and not attached to proteins. Such calcium is called free or ionized calcium. See: Calcium - ionized
Normal Results Return to top
Normal values range from 8.5 to 10.2 mg/dL.
Normal value ranges may vary slightly among different laboratories. Talk to your doctor about the meaning of your specific test results.
What Abnormal Results Mean Return to top
Higher-than-normal levels may be due to:
Lower-than-normal levels may be due to:
Additional conditions under which the test may be performed:
Risks Return to top
References Return to top
Goldman L, Ausiello D. Cecil Textbook of Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007.Update Date: 10/30/2007 Updated by: David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.