Serum calcium concentration in clinically normal multiparous cows after calcium supplementation

Serum calcium concentration in clinically normal multiparous cows after calcium supplementation

Extrapolated serum calcium concentration data for multiparous cows showing no clinical signs of hypocalcemia (N = 33) that were administered either no supplemental calcium (n = 11; dashed green line), IV calcium (n = 11; solid red line), or two oral calcium boluses (n = 11; dotted blue line).

IV calcium supplementation was a single 500-mL dose of a 23% calcium gluconate solution (10.7 g calcium) administered at the time of calving. Oral calcium supplementation was one fat-coated bolus of a mixture of calcium chloride and calcium sulfate administered at calving (43 g of calcium), followed by a second bolus 12 h later.

Note that the first serum sample was taken 1 h after IV calcium supplementation, which is well after the expected peak calcium concentration.

(To convert mg/dL to mmol/L, multiply by 0.25.)

Courtesy of Dr. Garrett Oetzel. Data extrapolated from Blanc CD, Van der List M, Aly SS, Rossow HA, Silva-del-Río N. Blood calcium dynamics after prophylactic treatment of subclinical hypocalcemia with oral or intravenous calcium. J Dairy Sci. 2014;97(11):6901-6906. doi:10.3168/jds.2014-7927.