Calculate corrected calcium levels based on total serum calcium and albumin.
Corrected Calcium:
9 mg/dL
Corrected calcium adjusts total serum calcium for low albumin to better estimate the physiologically active calcium concentration.
Use the formula: Corrected calcium (mg/dL) = total_calcium + 0.8 × (4.0 − albumin)
Corrected calcium (mg/dL) = total_calcium + 0.8 × (4.0 − albumin)
Example values: total serum calcium = 8.2 mg/dL and albumin = 2.5 g/dL.
8.2 mg/dL
4.0 − 2.5 = 1.5 g/dL
0.8 × 1.5 = 1.2 mg/dL
8.2 + 1.2 = 9.4 mg/dL
Most circulating calcium is bound to albumin; correcting accounts for albumin changes that alter total calcium without reflecting ionized calcium.
Use corrected calcium when ionized calcium is not available; ionized calcium is preferred for definitive assessment, especially in critically ill patients.
The 0.8 mg/dL per 1 g/dL albumin adjustment is commonly used, though some labs may apply slightly different factors based on local validation.
Yes. The formula is an estimate and can be inaccurate with abnormal binding proteins or severe illness; measure ionized calcium when precise values are required.