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Blood Gases

Test Code:

BC0049

Synonym(s):

Specimen Container

Adult and paed: Heparinised syringe
Neonates: Heparinised capillary tube

Specimen Requirement

Arterial blood sampling should be done at the radial artery in adults unless contraindicated. Before puncturing the radial artery, Allen's test should be performed to assess the adequacy of ulnar blood supply to the same hand and digits. A positive Allen's test means the ulnar blood supply is adequate and therefore the radial artery can be sampled. A negative Allen's test means that another limb is needed for arterial blood sampling. 


Click here for more details on Allen's test.


Collect 2 mL of blood in a heparinised syringe. Expel air bubbles, cap the syringe and roll the specimen between the hands for 15 seconds to gently mix it. Place this in a biohazard specimen bag and then immerse this bag into another bag with crushed ice. Send immediately to Lab. Clotted specimen or air bubble in the specimen will be REJECTED.


Invert blood 5 times after blood collection ensures the anticoagulant is well mixed with the blood. This will ensure results are reliable.

Specimen Storage / Transport

Collect blood in a syringe. Place syringe in a biohazard specimen bag and then immerse this bag into another bag with crushed ice. Send immediately to Lab. 

Method

 

Orderable as STAT?

Yes

Turn Around Time

Average 30 mins ( 25 - 35 mins )

Reference Value(s)

Adult:
-pH: 7.35 - 7.45 pH units (pH: Reference interval for pH in Arterial blood: 7.35 to 7.45 ; Venous blood : 7.32 to 7.43) 
-pCO2: 35 - 45 mmHg  (pCO2: Reference interval is for arterial blood.) 
-pO2: 80 - 100 mmHg (pO2: Reference interval is for arterial blood.) 
-BE: -2 - 2 mmol/L
-O2ST: 95 - 100 %
-HCO3: 18 - 23 mmol/L
-Ionised Ca: Refer to Test Name 'Calcium, Ionised'

Testing Laboratory Location

KKH

Laboratory

Clinical Chemistry

Contact Number

6394 1383

Day and Time Performed

Daily, 24 hrs

Orderable on CPOE?

Yes

Additional Information

Critical Results:
-pH: Low: <7.2 and High: >7.6
-pCO2: Low: <20 mmHg and High: >50 mmHg
-pO2: Low: <40 mmHg and High: >150 mmHg

Change History Notes

Others

Keywords

Blood Gases BC0049
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