Basic Metabolic Panel


Abbrev Code:BASIC   
Order Code:LAB15Order Name:Basic Metabolic Panel
Synonyms:BMP; CBASIC; CHEM 8; Electrolytes
Methodology:See individual test listings
CPT Codes: 80048 x1, 80048 x1
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, Roche Go Live Schedule



Collection Instructions

Specimen:Blood
Optimal Volume:2.5 mL
Minimum\Peds Volume:0.6 mL
Collection Instructions:Chemistry Tests Containers Chart
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). Separate ASAP and store tightly stoppered. Centrifuge and aliquot 1.25 mL, 0.2 mL minimum. Store in refrigerator.
Shipping Instructions:Ship at refrigerated temperature.
Stability:Roche: 40 hours at room temperature; 7 days refrigerated.
Vista: Use CO2 stability: 7 days refrigerated. Separate from erythrocytes and store tightly stoppered. Analyze as soon as possible after collection.
Test Performed at or Referral Lab Chemistry  (CSC Maple Grove, Grand Itasca, Northland, Oxboro Clinic, Range, Roche-CSC Mpls, Roche-Lakes, Roche-Ridges, Roche-St. John's, Roche-UMMC East, Southdale, UMMC/UMMCH-West Bank, Woodwinds)


Interpretive

Critical Range:Basic, Electrolyte and Renal Panels Critical Values and Reference Ranges
Reference Range:Basic, Electrolyte and Renal Panels Critical Values and Reference Ranges
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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