Convert any Calcium, Ionized result between units on the unit converter.
What is the normal range for Calcium, Ionized?
The standard teaching reference range for Calcium, Ionized is 4.6–5.3 mg/dL in conventional units, or 1.15–1.33 mmol/L in SI units. This value is measured in serum or whole blood.
A commonly taught critical (panic) value is < 3.2 or > 6.2 mg/dL. Critical results are reported to the provider immediately under your facility's policy.
Source: Adult reference values compiled from Pagana & Pagana, Mosby's Diagnostic and Laboratory Test Reference, and Fischbach & Dunning, A Manual of Laboratory and Diagnostic Tests. Reference ranges vary by laboratory, method, age, sex, and population — always use the range printed on the actual result.
Above the range
Common causes of a high Calcium, Ionized
Primary hyperparathyroidism
Malignancy
Acidosis (raises free fraction)
Below the range
Common causes of a low Calcium, Ionized
Alkalosis
Massive transfusion (citrate)
Hypoparathyroidism
At the bedside
Nursing considerations
The physiologically active fraction; unaffected by albumin, so preferred in critical illness.