Test Catalog

Test Id : CAI

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Calcium, Ionized, Serum

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Overview

Test Catalog

Useful For
Suggests clinical disorders or settings where the test may be helpful

Assessing calcium states during liver transplantation surgery, cardiopulmonary bypass, or any procedure requiring rapid transfusion of whole blood in neonates and critically ill patients

 

Second-order test in the evaluation of patients with abnormal calcium values

Method Name
A short description of the method used to perform the test

Ion-Selective Electrode (ISE)

NY State Available
Indicates the status of NY State approval and if the test is orderable for NY State clients.

Yes

Reporting Name
Lists a shorter or abbreviated version of the Published Name for a test

Calcium, Ionized, S

Aliases
Lists additional common names for a test, as an aid in searching

Ca (Calcium)

Calcium (Ca)

Free Calcium

Ionized Calcium, Serum

CA Ionized, Serum

Calcium Ionized, Serum

Specimen Type
Describes the specimen type validated for testing

Serum SST

Specimen Required
Defines the optimal specimen required to perform the test and the preferred volume to complete testing

Container/Tube: Serum gel or serum gel microtainer

Specimen Volume: Full tube

Collection Instructions:

1. Allow blood to clot for 30 minutes.

2. Serum gel tube/microtainer must be centrifuged within 1 hour of collection. Centrifuge with stopper in place for 7 minutes at 3000 rpm to ensure that the gel barrier separates the serum and cells.

3. Keep specimen anaerobic; do not aliquot.

Forms

If not ordering electronically, complete, print, and send a Renal Diagnostics Test Request (T830) with the specimen. 

Specimen Minimum Volume
Defines the amount of sample necessary to provide a clinically relevant result as determined by the testing laboratory. The minimum volume is sufficient for one attempt at testing.

1.75 mL in a 3.5 mL (50% full) in serum gel tube or 1 full serum gel microtainer

Reject Due To
Identifies specimen types and conditions that may cause the specimen to be rejected

Gross hemolysis Reject
Tubes less than 50% full
Specimens that have been aliquoted, opened, or poorly centrifuged 		Reject

Specimen Stability Information
Provides a description of the temperatures required to transport a specimen to the performing laboratory, alternate acceptable temperatures are also included

Specimen Type Temperature Time Special Container
Serum SST Refrigerated 7 days SERUM GEL TUBE

Useful For
Suggests clinical disorders or settings where the test may be helpful

Assessing calcium states during liver transplantation surgery, cardiopulmonary bypass, or any procedure requiring rapid transfusion of whole blood in neonates and critically ill patients

 

Second-order test in the evaluation of patients with abnormal calcium values

Clinical Information
Discusses physiology, pathophysiology, and general clinical aspects, as they relate to a laboratory test

Ionized calcium, which accounts for 50% to 55% of total calcium, is the physiologically active form of calcium.

 

Low ionized calcium values are often seen in kidney disease, critically ill patients, or patients receiving rapid transfusion of citrated whole blood or blood products.

 

Increased serum ionized calcium concentrations may be seen with primary hyperparathyroidism, ectopic parathyroid hormone-producing tumors, excess intake of vitamin D, or various malignancies.

 

Nomograms have been used to calculate ionized calcium from total calcium, albumin, and pH values. However, calculated ionized calcium results have proven to be unsatisfactory. A Mayo study of 114 patients found significant differences between ionized and total calcium in 26% of patients.

Reference Values
Describes reference intervals and additional information for interpretation of test results. May include intervals based on age and sex when appropriate. Intervals are Mayo-derived, unless otherwise designated. If an interpretive report is provided, the reference value field will state this.

IONIZED CALCIUM

< or =13 days old: Not established

14 days-<1 year: 5.21-5.99 mg/dL

1-<2 years: 5.04-5.84 mg/dL

2-<3 years: 4.87-5.67 mg/dL

3-23 years: 4.83-5.52 mg/dL

24-97 years: 4.57-5.43 mg/dL

> or =98 years: Not established

 

pH

< or =13 days old: Not established

14 days-97 years old: 7.35-7.48

> or =98 years old: Not established

 

For SI unit Reference Values, see www.mayocliniclabs.com/order-tests/si-unit-conversion.html

Interpretation
Provides information to assist in interpretation of the test results

Serum ionized calcium concentrations 50% below normal will result in severely reduced cardiac stroke work. With moderate to severe hypocalcemia, left ventricular function may be profoundly depressed.

 

Ionized calcium values are higher in children and young adults.

 

Ionized calcium result has been adjusted to pH 7.40 to account for changes in specimen pH that may occur during transport. Ionized calcium concentration increases approximately 0.2 mg/dL per 0.1 pH unit decrease.

Cautions
Discusses conditions that may cause diagnostic confusion, including improper specimen collection and handling, inappropriate test selection, and interfering substances

Proper specimen handling is necessary to ensure accurate results.

Clinical Reference
Recommendations for in-depth reading of a clinical nature

Rifai N, Horwath AR, Wittwer CT, eds. Tietz Textbook of Clinical Chemistry and Molecular Diagnostics. 6th ed. Elsevier; 2018

Method Description
Describes how the test is performed and provides a method-specific reference

The pH and ionized calcium sensors in the GEM Premier 3500 Analyzer are based on the principle of ion-selective electrodes; that is, an electrical potential can be established across a membrane that is selectively permeable to a specific ion.(Instruction manual: GEM Premier 3500 Analyzer Operator's Guide. Instrumentation Laboratory; 03/2015)

PDF Report
Indicates whether the report includes an additional document with charts, images or other enriched information

No

Day(s) Performed
Outlines the days the test is performed. This field reflects the day that the sample must be in the testing laboratory to begin the testing process and includes any specimen preparation and processing time before the test is performed. Some tests are listed as continuously performed, which means that assays are performed multiple times during the day.

Monday through Sunday

Report Available
The interval of time (receipt of sample at Mayo Clinic Laboratories to results available) taking into account standard setup days and weekends. The first day is the time that it typically takes for a result to be available. The last day is the time it might take, accounting for any necessary repeated testing.

Same day/1 day

Specimen Retention Time
Outlines the length of time after testing that a specimen is kept in the laboratory before it is discarded

7 days

Performing Laboratory Location
Indicates the location of the laboratory that performs the test

Rochester

Fees :
Several factors determine the fee charged to perform a test. Contact your U.S. or International Regional Manager for information about establishing a fee schedule or to learn more about resources to optimize test selection.

  • Authorized users can sign in to Test Prices for detailed fee information.
  • Clients without access to Test Prices can contact Customer Service 24 hours a day, seven days a week.
  • Prospective clients should contact their account representative. For assistance, contact Customer Service.

Test Classification
Provides information regarding the medical device classification for laboratory test kits and reagents. Tests may be classified as cleared or approved by the US Food and Drug Administration (FDA) and used per manufacturer instructions, or as products that do not undergo full FDA review and approval, and are then labeled as an Analyte Specific Reagent (ASR) product.

This test has been modified from the manufacturer's instructions. Its performance characteristics were determined by Mayo Clinic in a manner consistent with CLIA requirements. This test has not been cleared or approved by the US Food and Drug Administration.

CPT Code Information
Provides guidance in determining the appropriate Current Procedural Terminology (CPT) code(s) information for each test or profile. The listed CPT codes reflect Mayo Clinic Laboratories interpretation of CPT coding requirements. It is the responsibility of each laboratory to determine correct CPT codes to use for billing.

CPT codes are provided by the performing laboratory.

82330

LOINC® Information
Provides guidance in determining the Logical Observation Identifiers Names and Codes (LOINC) values for the order and results codes of this test. LOINC values are provided by the performing laboratory.

Test Id Test Order Name Order LOINC Value
CAI Calcium, Ionized, S 57333-7
Result Id Test Result Name Result LOINC Value
Applies only to results expressed in units of measure originally reported by the performing laboratory. These values do not apply to results that are converted to other units of measure.
CAIS Calcium, Ionized, S 57333-7
PHCC pH 2753-2

Test Setup Resources

Setup Files
Test setup information contains test file definition details to support order and result interfacing between Mayo Clinic Laboratories and your Laboratory Information System.

Excel | Pdf

Sample Reports
Normal and Abnormal sample reports are provided as references for report appearance.

Normal Reports | Abnormal Reports

SI Sample Reports
International System (SI) of Unit reports are provided for a limited number of tests. These reports are intended for international account use and are only available through MayoLINK accounts that have been defined to receive them.

SI Normal Reports | SI Abnormal Reports