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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1989-10-26
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pubmed:abstractText |
Inorganic sulfate is a divalent anion that forms a soluble ion-pair complex with serum calcium, but the extent to which infusions of sulfate salts may depress the concentration of ionized calcium has never been quantitated. In a study of 9 patients who received sodium sulfate infusions as part of a standard diagnostic workup for their renal tubular acidosis, we observed a decrease in mean ionized calcium (adjusted to pH 7.40) from 1.15 +/- 0.01 to 1.04 +/- 0.02 mmol/l (p less than 0.01). The changes in ionized calcium were highly correlated with those in serum sulfate (r2 = 0.95; p less than 0.01). Quantitatively, an increase of 1 mmol/l in serum sulfate was associated with a decrease of 0.017 mmol/l in ionized calcium, a result that is in close agreement with in vitro data based on simple salt solutions. Diagnostic sulfate infusions should be used with caution in any patient predisposed to hypocalcemia.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0028-2766
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
53
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
78-80
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:2779706-Acidosis, Renal Tubular,
pubmed-meshheading:2779706-Adolescent,
pubmed-meshheading:2779706-Calcium,
pubmed-meshheading:2779706-Child,
pubmed-meshheading:2779706-Child, Preschool,
pubmed-meshheading:2779706-Humans,
pubmed-meshheading:2779706-Hypocalcemia,
pubmed-meshheading:2779706-Infant,
pubmed-meshheading:2779706-Infusions, Intravenous,
pubmed-meshheading:2779706-Sulfates,
pubmed-meshheading:2779706-Time Factors
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pubmed:year |
1989
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pubmed:articleTitle |
The hypocalcemic effect of inorganic sulfate infusions.
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pubmed:affiliation |
Department of Pediatrics, Dalhousie University, Halifax, N.S., Canada.
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pubmed:publicationType |
Journal Article
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