Venous Blood Gas with Oxyhemoglobin


Sunquest Code:BGVOB  
Epic Code:LAB3323Epic Name:BL Gas Venous and O2HB Panel
Order Instructions:Use test code for arterial (BGAOB), venous (BGVOB), capillary (BGCOB), or type unknown (BGBOB). No reference ranges print with BGBOB. Order ELS (ECMO) samples as BGEV (VEN) or BGEA (ART).
Synonyms:VBG; Venous Blood Gas
Methodology:Specific electrodes (pH, pCO2, pO2); spectrophotometric analysis of hemolysate. % OxyHb = cOxyHb/ctHb; %O2Sat = cOxyHb/(ctHb -[cCOHb + cMetHb])
CPT Code:----------CPTCODES HERE----------
Test Includes:pH, pCO2, pO2, derived HCO3, oxyhemoglobin
Turnaround Time:Performed and reported 24 hours/day.
Special Instructions:UMMC and FNMC: 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:1 mL
Minimum\Peds Volume:0.5 mL (3 mL syringe); 0.2 mL (tuberculin syringe)
Collection Instructions:

Specimen should be free of air bubbles. Deliver to laboratory immediately; if received within 30 minutes, ice is not required.

Venous or arterial catheter

Remove any bubbles present, cap and mix thoroughly.

Venipuncture

Collect venous samples without tourniquet. Do not allow patient to clench/unclench hand (this builds up lactic acid).

 

 



Processing and Shipping

Specimen Processing:Do not store.
Shipping Instructions:Ship on wet ice to arrive within 2 hours. UMMC, FLMC and FNMC only: Do not send in PTS.
Test Performed at or Referral Lab Chemistry  (University of Minnesota Health Maple Grove Clinics, Fairview Range - FRMC, UMMC-East Bank, Fairview Lakes - FLMC, Fairview Ridges - FRH, Fairview Northland - FNMC, 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 7.32-7.43 40-50 25-47 16-24 -7.7 to 1.9
2 y & older 7.32-7.43 40-50 25-47 21-28 -7.7 to 1.9

GICH:
  pH pCO2
mm Hg
pO2
mm Hg
dHCO3
mmol/L
Base Excess
All ages      7.32-7.43 40-50 25-47 21-28  


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