Electrolytes

Last Modified: 6/6/2019 3:20:28 PM


Medical Necessity Documentation:  
Client Notes:  
Patient Preparation:  
Specimen Requirements: 1.0 mL Plasma from a PST Mint Green Top Tube - Li Heparin (preferred)
or
1.0 mL Serum in a SST Gold Top Tube
Minimum Volume: 0.8 mL
Transport & Storage: Temperature/Stability: 2 days Refrigerated

4 hours on cells
Rejection Criteria: Hemolysis
Reference Range: Carbon Dioxide 
0 days to 1 year: 14 - 23 mmol/L
1 year to Adult: 21 - 29 mmol/L

Chloride
98 - 107 mmol/L

Potassium
1 day to 1 month: 4.0 - 6.0 mmol/L
1 month to 2 years: 3.8 - 5.6 mmol/L
> 2 years: 3.6 - 5.1 mmol/L

Sodium
1 day to 1 month: 133 - 150 mmol/L
1 month to Adult: 134 - 146 mmol/L

Anion Gap 9-16 mmoL
Critical Ranges: Carbon Dioxide 
Low: < 10 mmol/L
High: > 45 mmol/L

Potassium
Low: < 2.5 mmol/L
High: > 6.0 mmol/L

Sodium
NICU (Infants in a Parkview Health Neonatal Intensive Care Unit): 
<125 mmol/L
>= 155 mmol/L

1 day to Adult:
Low: < 120 mmol/L
High: > 160 mmol/L
Test Comments: Test can be reported with disclaimer if on cells for 4-6 hours
Methodology: Ion Selective Electrode
Clinical Significance:  
Documentation:  
Custom Panel: No

PRODUCTION SCHEDULE

Stat Eligible: Yes
Days Performed: Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, Saturday
Sites Performed: Parkview Hospital Randallia, Parkview Huntington, Parkview LaGrange, Parkview Noble, Parkview Regional Medical Center, Parkview Wabash, Parkview Warsaw , Parkview Whitley
PHL Test Code: LYTES
EPIC Test Code: LAB16
Alternate Test Names: Lytes
Included Tests:
Carbon Dioxide (CO2); Chloride (CL); Potassium (K); Sodium (Na)
CPT Coding: 80051

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