Physiology · Endocrine System

Calcium homeostasis and PTH physiology

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Definition

  • Calcium homeostasis is maintenance of plasma calcium within normal range by hormonal action on bone, kidney and intestine.
  • Normal plasma calcium is 9 to 11 mg% (average 10 mg%); about 50% is ionized (biologically active).

Normal Values and Distribution

Normal calcium and phosphate values

Parameter

Plasma calcium

Value
9 to 11 mg% (average 10 mg%)

Plasma phosphate

Value
2.5 to 4.5 mg%

Plasma PTH

Value
10 to 60 pg/mL

Plasma calcitonin

Value
10 to 20 pg/mL

Total body calcium

Value
1 to 1.5 kg
  • About 40% of plasma calcium is protein-bound, about 10% complexed.
  • Alkalosis decreases ionized calcium; acidosis increases it.

Distribution of body calcium

Compartment

Bone and teeth

Share of total body calcium
99%

Intracellular fluid

Share of total body calcium
0.9% (about 11 g)

Extracellular fluid

Share of total body calcium
0.1% (about 1 g)