Capillary Blood Gas with Oxyhemoglobin


Sunquest Code:BGCOB  
Epic Code:LAB5691Epic Name:Blood Gas Capillary with OXYHGB
Order Instructions:Use test code for arterial (BGAOB), venous (BGVOB), capillary (BGCOB), or type unknown (BGBOB). No reference ranges print with BGBOB.
Synonyms:Blood Gas; CBG
Methodology:Specific electrodes (pH, pCO2, pO2); spectrophotometric analysis of hemolysate. % OxyHb = cOxyHb/ctHb; %O2Sat = cOxyHb/(ctHb -[cCOHb + cMetHb])
CPT Code:82805
Test Includes:pH, pCO2, pO2, derived HCO3, oxyhemoglobin
Turnaround Time:Performed and reported 24 hours/day.
Special Instructions:UMMC: Whole blood sodium, potassium, chloride, CO2, ionized calcium, lactate and glucose may be requested on this specimen. Provide FIO2 on request form. Whole blood potassium is stable at room temperature for 2 hours. Whole blood potassium is stable on ice/gel packs for 30 minutes.


Collection Instructions

Specimen:Blood
Optimal Volume:0.1 mL
Minimum\Peds Volume:0.06 mL
Collection Instructions:

Deliver to laboratory immediately; if received within 30 minutes, ice is not required. The puncture should be deep enough to allow a free flow of blood. Collect into heparinized capillary tube, which is free of air bubbles, filled as much as possible, and capped on both ends.

 



Processing and Shipping

Specimen Processing:Do not store.
Shipping Instructions:Ship on wet ice to arrive within 2 hours. UMMC, FNMC and FLMC only: Do not send in PTS.
Test Performed at or Referral Lab Chemistry  (Fairview Range - FRMC, UMMC-East Bank, Fairview Lakes - FLMC, Fairview Ridges - FRH, Fairview Southdale - FSH, UMMC/UMMCH-West Bank, UMMC NICU, Grand Itasca GICH)


Interpretive

Critical Range:

pH

Less than 7.20

Greater than 7.60

pCO2

Less than 20 mmHg

Greater than 75 mmHg

pO2, Arterial

Less than 40 mmHg

 

pO2, capillary

Less than 30 mmHg

 

Derived HCO3

Less than 11 mmol/L

Greater than 45 mmol/L

 

 

Reference Range:
Age pH pCO2
mm Hg
pO2
mm Hg
dHCO3
mmol/L
Base Excess
0-1 y 7.35-7.45 26-40 40-105 16-24 -9.0 to 1.8
2y & older      7.35-7.45 35-45 25-47 21-28 -9.0 to 1.8
 
GICH:
  pH pCO2
mm Hg
pO2
mm Hg
dHCO3
mmol/L
Base Excess
All ages 7.35-7.45 26-41 60-80 17-23  
 


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