Tetany is a complex disease in that no specific condition triggers it in all cases. Gauge tetany risk using soil and tissue analysis when growing or feeding hay comprised solely of cool-season grasses. A grass-legume mix does not have this risk. Tetany is a disease affecting ruminants and is associated with feeding or grazing bluegrass, bromegrass, fescue, orchardgrass, ryegrass, timothy and wheatgrass. It is caused by low blood levels of calcium and/or magnesium. Classic risk conditions occur when the forage grass is growing quickly in the spring and nitrogen levels are high. Less well known is that tetany can be a problem when hay is grown on soils with excessive soil potassium. Manure and potassium hydroxide cleansers are two potential sources. Lactating animals are more susceptible to tetany, thus dairies are particularly alert to the concern and tend to avoid growing or feeding grass hay exclusively. Forage guides may not mention it as a concern. A forage tissue ratio of K/(Ca+Mg) of more than 2.2 indicates a high risk of tetany and the need to supplement feed with magnesium (Mg) (see also). If an animal goes down and tetany is suspected, a veterinarian should be contacted for immediate treatment. Often an animal will recover if it can be given an injection of magnesium sulfate (Epsom salts) early on.

Preventative Mg feed supplement and the ready supply of alfalfa tends to keep the incidence of tetany to a minimum. My thought is that tetany is additionally controlled by the close knit nature of farm communities. Caring neighbors and long memories tend to interact sufficiently that tetany symptoms don't take more than an animal or two, usually the weakest anyway, before it is figured out. Perhaps this explains why analytical laboratories in my region are generally unaware of tetany or the role of soil and tissue nutrient levels. My opinion is that cooperative extension publications in the Pacific Northwest can do better in this area. Tips for preventing animal loss due to tetany should be included in the fertility guides published to help folk interpret forage test results.
See also:
Spring Mineral Considerations by Jeff Heldt (link added 03MAR06)
Controlling Grass Tetany in Livestock, by Cooperative Extension, New Mexico State University,
available in pdf format
Tech Tags:
soil science animal nutrition environment chemistry dairy manure farm waste recycling land treatment information