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Epic Test Code RT85/RT43 Arterial Blood Gas

Performing Location(s)

BMC

FOX Back up 

Specimen Type

Whole Blood: Arterial, Capillary, Cord, Mixed Venous

Preferred Container

Lithium Heparin coated syringe or balanced Heparin capillary

Alternate Container

Green top tube (prefer Dark Green top tube only when submitted to the Clinical Lab for Blood Gas Only (No Electrolytes))

Specimen Tubes for Blood Gases

.

Volume Required

2 ml

Minimum Volume

0.5 ml

Transportation Needs

Deliver to laboratory at room temp within 30 minutes.

Do not send Green top tubes through pneumatic tube system .

Syringes with air expelled at collection are acceptable to be transported in the pneumatic tube system.

 

Causes for Rejection

Specimen not received within 30 min of collection at room temp or 60 min of collection on ice.

Specimen contaminated with Room Air (bubbles in syringe or uncapped)

Pneumatic tube transport of Green top tubes.

 

Reference Values

 

 

Reference Ranges

Analyte

Units

Population

Arterial

Venous

Cord:Arterial or Venous

Capillary

pH

(none)

All

7.35-7.48

7.33-7.43

7.20-7.45

7.35-7.45

pCO2

mmHg

All

32-48

40-50

38-54

32-48

pO2

mmHg

All

83-108

29-49

10-24

80-90

HCO3

mmol/L

All

21-28

22-29

15-25

22-27

TCO2

mmol/L

All

19-32

22-34

20-34

33-43

O2 Content

vol%

All

15-23

 

   

O2 Saturation

%

All

95-98

60-85

60-98

90-100

Base Excess

mmol/L

All

(-2)-(+3)

<3

(-6.2)-( -0.5)

 
   

0 d-1wk

 

 

 

(-10) - (-2)

   

1 wk-1 yr

 

 

 

(-7) - (1)

   

1-16 yr

 

 

 

(- 4) - (+2)

   

>16 yr

 

 

 

(- 3) - (+3)

Critical Values

Analyte

Units

Population

Arterial/
Capillary  Low

Arterial/
Capillary High

Venous Low

Venous High

Cord:Arterial or Venous

pH

(none)

All

< 7.25

>7.60

<7.25

>7.60

<7.10

pCO2

mmHg

All

23

>60

     

pO2

mmHg

All

45

       

  

 

Hemoglobin Reference Ranges
Population Units Reference Range Low Critical Value
< 1 month g/dL 13.0 - 19.0 < 7.0
1 month - 5 month g/dL 11.0 - 17.0 < 7.0
5 month - 2 years g/dL 11.0 - 14.0 < 7.0
2 years - 6 years g/dL 11.0 - 13.0 < 7.0
6 years - 12 years g/dL 11.0 - 15.0 < 7.0
Female > 12 years g/dL 11.5 - 15.5 < 7.0
Male > 12 years g/dL 11.5 - 18.0 < 7.0

 

 

Days of Analysis

All

Available STAT

Yes

Additional Information

Testing Site Dependent Information

Includes

pH, PCO2, PO2, bicarbonate, Total CO2, Base Excess (or Deficit), O2 saturation, O2 content

Methodology

iSTAT

CPT Code

82803

Last Updated

28-Nov-22 BHD