Burn Care and Treatment by Marc G. Jeschke Lars-Peter Kamolz & Shahriar Shahrokhi

Burn Care and Treatment by Marc G. Jeschke Lars-Peter Kamolz & Shahriar Shahrokhi

Author:Marc G. Jeschke, Lars-Peter Kamolz & Shahriar Shahrokhi
Language: eng
Format: epub
Publisher: Springer Vienna, Vienna


Calcium

Total plasma calcium concentration consists of three fractions: 15 % is bound to multiple anions (sulfate, phosphate, lactate, citrate), about 40 % is bound to albumin in a ratio of 0.2 mmol/l of calcium per 10 g/l of albumin, and the remaining 45 % circulating as physiologically active ionized calcium. Calcium metabolism is tightly regulated. As albumin levels vary widely in burns and only ionized calcium is biologically active, only ionized calcium is a true indicator of status, as total plasma calcium determination is not a reliable indicator of calcium status: the use of conversion formula is unreliable:



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