Laboratory Test Information Guide

Details for Blood Gases Plus

Test Name: Blood Gases Plus
Alternate Name(s):  
Laboratory: Core (all sites)
Specimen Type: See Note in Interpretive Comments.
Collection Information: Syringes, minimum volume
Electrolyte-balanced heparin in blood gas syringes
Arterial, 3 mL
Venous, 3 mL
Capillary, completely filled 125 L
    o Mixing wire (flea), Caps, Glass Clinitube (heparinized)
    o Free-flowing sample, completely filled, air free, with sealed ends (caps tight)

Labeling:
Put small Cerner label on syringe and place in biohazard bag with large Cerner label in the outside pocket of the biohazard bag.

Transport for blood gas specimens:
Send specimens to the laboratory immediately at room temperature. Suggested transport time is 15 min. Do NOT freeze.

Special Processing:
Avoid air bubbles when collecting specimen. Air bubbles will falsely increase pO2 result.
Mix capillary blood with metal flea by running magnet up and down full length of the tube multiple times, to prevent clotting. Not mixing immediately will result in microclots formation that can affect results.
Requisition: GENERAL LABORATORY REQUISITION
Test Schedule: As required
Turnaround time from when specimen
is received in testing laboratory:
 
Routine
30 minutes (Cord gases: 1 hour)
Stat
15 minutes
 
Reference Range: 


Age RangeArterial/CapillaryVenous
pHbirth-1 day7.29 - 7.457.32 - 7.42
2 days-adult7.35 - 7.457.32 - 7.42
pCO2birth - 2 days27 - 4038 - 50
2 days - adult35 - 4538 - 50
pO2birth - 2 days54 - 9530 - 50
2 days - adult83 - 10830 - 50
Base Excess (BE)(all)(-2) - 3(-2) - 3
O2 saturation, calculated(all)N/AN/A
Sodium, Na(all)135-145135-145
Potassium, K(all)3.5-53.5-5
Chloride, Cl(all)98-10798-107
Total CO2 (Bicarbonate)(all)22-2825-29
Ionized Calcium(all)1.09-1.31.09-1.3
Glucose(all)3.6-11.03.6-11.0
Lactate(all)0.9-2.40.9-2.4
Effective Date: 2016-05-04
Revised Date: 2017-07-19
Critical Value:  
Interpretive Comments: Venous pCO2 >45 is suggestive of arterial pCO2 >40 mmHg, which may be clinically important.
Special Processing:  
Comments: 
Critical LowCritical High
pH7.207.60
pCO22060
pO2 (arterial only)40
Na120160
K3.06.0
Glucose3.030.0
Lactate (ED only)4.0
Method of Analysis: GEM Premier 4000 Blood Gas Analyzer
Amperometric: pO2, Glucose, Lactate
Potentiometric: pH, pCO2, Na+, K+, Ca++, Cl-
Calculated parameters: O2 Saturation, Total CO2 (Bicarbonate)

Please note that the measured %saturation (sO2) overestimates oxygenation status in the presence of dyshemoglobins (carboxyHb & metHb) and may result greater than 100%
Critical Information Required:  
Storage & Shipment:  Send all blood gas specimens to core laboratory at room temperature within 30 minutes
Store on ice slurry if delay in analysis or delivery longer than 30 minutes
Do not freeze

Please note that if the blood specimen was not received within the specified 30 min; some of the results may have been affected.
System Codes: 
Cerner
BGP
 
Referred To:  

Questions? Comments? Contact Laura Gopaul