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Corrected Calcium Calculator

Calculate corrected calcium levels for patients with low albumin.

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Formula

Corrected Calcium = Measured Calcium + 0.8 * (4.0 - Albumin)

Calculates the physiologically active calcium level when albumin is low.

Worked Example

Measured Calcium 8.0 mg/dL, Albumin 2.5 g/dL -> 9.2 mg/dL.

Corrected Calcium Explained

Calcium in the blood is about 40% bound to proteins, primarily albumin. When albumin levels are low (hypoalbuminemia), the total measured calcium may appear low even if the active (ionized) calcium is normal.
  • The formula: Corrected Calcium (mg/dL) = Measured Calcium (mg/dL) + 0.8 * [4.0 - Albumin (g/dL)]
  • Use this calculator when serum albumin is less than 4.0 g/dL
  • Normal total calcium range is typically 8.5 to 10.5 mg/dL
  • Ionized calcium is the physiologically active form, but total calcium corrected for albumin is a common surrogate

Always correlate calculator results with the patient's clinical status. If results are critical, an ionized calcium level should be measured directly.

You can also calculate changes using our Anion Gap Calculator or Creatinine Clearance Calculator.

Frequently Asked Questions

What is corrected calcium?

Corrected calcium is an estimate of what the total calcium would be if the albumin level were normal (4.0 g/dL). It helps clinicians interpret calcium levels in patients with low protein.

Why does albumin affect calcium?

Calcium binds to albumin. If there is less albumin, there is less total calcium even if the free, active calcium remains unchanged.

Is corrected calcium the same as ionized calcium?

No. Corrected calcium is an estimate based on total calcium and albumin. Ionized calcium is a direct measurement of free calcium and is more accurate but harder to measure.

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