Basic Metabolic Panel


Sunquest Code:CBASIC  
Epic Code:LAB15Epic Name:Basic Metabolic Panel
Synonyms:BMP; CBASIC; CHEM 8; Electrolytes
Methodology:See individual test listings
Test Includes:Anion gap, calcium, chloride, CO2, creatinine, glucose, potassium, sodium, urea nitrogen
Turnaround Time:Performed and reported 24 hours/day.
Associated Links:

Panel Codes



Collection Instructions

Specimen:Blood
Optimal Volume:2.5 mL
Minimum\Peds Volume:0.6 mL
Container:Green (lithium heparin, gel), St Johns/St Joseph/Woodwinds-Green (lithium heparin, no gel) (Green (lithium heparin) on ICE, Red (no gel), Red or gold (gel), St Johns/St Joseph/Woodwinds - Red (no gel), Dry heparin syringe)
Collection Instructions:Do not allow patient to clench/unclench hand.
Causes for Rejection:Specimen not separated from cells within 2 hours of collection (4 hours for Home Health specimens).


Processing and Shipping

Specimen Processing:Process within 2 hours (4 hours for Home Health specimens). Centrifuge and aliquot 1.25 mL, 0.2 mL minimum. Store in refrigerator.
Shipping Instructions:Ship at refrigerated temperature.
Stability:Stability: See individual test codes.
Test Performed at or Referral Lab Chemistry  (University of Minnesota Health Maple Grove Clinics, Range, UMMC-East Bank, Oxboro Bloom, Lakes, Ridges, Northland, Southdale, UMMC/UMMCH-West Bank, M Health Clinic and Surgery Center, Grand Itasca, St. Joseph's, St. John's, Woodwinds)


Interpretive

Critical Range:Chemistry Panel Reference Ranges and Critical Ranges
Reference Range:Chemistry Panel Reference Ranges and Critical Ranges

Glomerular Filltration Rate Reference Range: >60mL/min/1.73m2
Use:Broad assessment of several organ systems.

Anion gap is used for diagnosis of metabolic acidosis (marked elevation). Above 30 mmol/L, gap increase is commonly secondary to lactic acidosis or ketoacidosis. Unmeasured cations include K, Ca, Mg; unmeasured anions include protein, PO4, SO4, organic acids. Reference Range: 3-14 mmol/L using a calculation:  Na - (Cl + CO2).


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