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Test Code VBGALL BLD GAS,CHEMS,LACTATE, VENOUS

Additional Codes

LAB15177

Performing Laboratory

Porter Hospital Laboratory

Specimen Requirements

Specimen must arrive within 30 minutes of draw.
Specimen Type: Whole blood-Clotted blood is not acceptable.
Container/Tube: Lithium heparin plasma seperator tube (PST)
Specimen Volume: 2 mL

Collection Instructions:
1. Draw VENOUS blood anaerobically.
2. Expel air bubbles, remove needle from syringe and cap-Air bubble is not acceptable.
3. Ideally, the sample should be tested within 15 minutes of collection. If this cannot be achieved, place on ice for up to 2 hours.

Test Schedule / Analytical Time / Test Priority / Turn Around Time

Daily / Immediately / Available STAT

Methodology

Instrument: RapidPoint

pH          Potentiometric method using standard ionselective electrode (ISE) technology
pCO2     Modified potentiometric method based on the principle of the Severinghaus electrode
pO2       Amperometric measurement based on the principles of the Clark electrode

Na         Potentiometric method using standard ionselective electrode (ISE) technology
K           Potentiometric method using standard ionselective electrode (ISE) technology
iCa++    Potentiometric method using standard ionselective electrode (ISE) technology
Cl          Potentiometric method using standard ionselective electrode (ISE) technology
Glucose Amperometric method using an enzyme electrode that contains glucose oxidase
Lactate   Amperometric method using an enzyme electrode that contains lactate oxidase
Hgb        Spectral analysis

Test Classification and CPT Coding

82803, 84295, 84132, 82947, 83605, 82330

Normal Reference Values

VENOUS Blood Gas Reference Intervals - ALL AGES

Analyte

 

Units

 

pH

7.31-7.41**

 

 

pO2

None

 

 

pCO2

41-51**

mmHg

 

HCO3

23-28**

mmol/L

 

O2 Sat

None

 

 

Lactate

0.36-1.39***

mmol/L

 

BE

(-2) to (+3)

mmol/L

 

 

VENOUS Blood Gas Reference Intervals - AGE SPECIFIC PARAMETERS

 

 

Analyte

0-24 hr

1-6 days

6 days - 17 yrs

18 and older

Units

 

Sodium

136-145

136-145

136-145

136-145

mmol/L

 

Potassium

3.4-4.5

3.4-4.5

3.4-4.5

3.4-4.5

mmol/L

 

Chloride

98-107***

98-107***

98-107***

98-107***

mmol/L

 

Glucose

40-100*****

50-100*****

70-100***

70-100***

mg/dL

 

Anion Gap

None

None

None

10-20

mmol/L

 

Ionized Calcium

See below

 

 

 

 

 

Hemoglobin

See below

 

 

 

 

 

Hematocrit

See below

 

 

 

 

 

 

 

 

 

 

 

 

 

0-1 month

1-6 months

> 6 months

Units

 

 

Ionized Calcium

1.0-1.50****

0.95-1.50****

1.15-1.33***

mmol/L

 

 

 

 

 

 

 

 

 

 

0-1 month

1 - 24 months

2 years - 9 years

10-17 years

>/= 18 years

Units

Hemoglobin

15.0-24.0

10.5-14.0

11.5-14.5

12.5-16.1

12.0-17.5***

g/dL

Hematocrit

44-70

32-42

33-43

36-47

36-52.5***

%

** iSTAT

***RapidPoint

**** Harriett Lane Handbook 21st ed

*****UVMMC

Critical Values

None Established