Calcium - blood test

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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.

This article discusses the test to measure the total amount of calcium in your blood.

Calcium can also be measured in the urine. See: Calcium - urine test

Ca+2; Serum calcium; Ca++

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.

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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.

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:

• Calcium salts (may be found in nutritional supplements or antacids)
• Lithium
• Thiazide diuretics
• Thyroxine
• Vitamin D

Drinking too much milk (two or more quarts a day) or taking too much vitamin D as a dietary supplement can also increase blood calcium levels.

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.

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.

About half of the calcium in the blood is attached to proteins. A separate test measures calcium that is not attached to proteins in your blood. Such calcium is called free or ionized calcium. See: Calcium - ionized

Review Date: 11/15/2009
Reviewed By: David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

A.D.A.M., Inc. is accredited by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org).