Authors: Mary A. Williamson Mt(ascp) Phd,L. Michael Snyder Md
Malabsorption of calcium and vitamin D, obstructive jaundice
Insufficient calcium, phosphorus, and vitamin D ingestion
Bone disease (osteomalacia, rickets)
Starvation
Late pregnancy
Altered bound calcium citrate
Multiple citrated blood transfusions
Dialysis with citrate anticoagulation
Hyperphosphatemia (e.g., phosphate enema/infusion)
Rhabdomyolysis
Tumor lysis syndrome
Acute severe illness (e.g., pancreatitis with extensive fat necrosis, sepsis, burns)
Respiratory alkalosis
Certain drugs