Basic Metabolic Panel

Last Modified: 6/10/2019 7:02:57 AM


Medical Necessity Documentation:  
Client Notes:  
Patient Preparation:  
Specimen Requirements: 1.0 mL Plasma in a PST Mint Green Top Tube - Li Heparin (preferred)
or 
1.0 mL Serum in a SST Gold Top Tube 
Collection Instructions: Do not collect in Lavendar Top Tube - EDTA

Avoid Hemolysis

Centrifuge and Separate from Cells within 4 hours of collection
Minimum Volume: 0.2 mL
Transport & Storage: Temperature/Stability: 2 days Refrigerated

Reference Range: Blood Urea Nitrogen (BUN)
Pediatric
1 day to 5 days: 5 - 17 mg/dL
5 days to 14 years: 7 - 17 mg/dL
14 years to 20 years: 7 - 21 mg/dL

Male > 20 years: 9 -21 mg/dL
Female > 20 years: 7 - 18 mg/dl 

Calcium: 
Pediatric
   <1 year: 8.7 - 10.5 mg/dL
  1 year to 4 years: 8.5 - 10.6 mg/dL
  4 years to 20 years: 8.9 - 10.4 mg/dL
 
Adult 
   >20 yrs: 8.5-10.3 mg/dl

Creatinine:
Male:
< 1 year: 0.3 - 1.0 mg/dl
1 year to 4 years: 0.1 - 0.4 mg/dl
5 years to 11 years: 0.2 - 0.7 mg/dl
12 years to 15 years: 0.4 - 0.9 mg/dl
> = 16 years: 0.8 - 1.4 mg/dl

Females
< 1 year: 0.3 - 1.0 mg/dl
1 year to 5 years: 0.1 - 0.5 mg/dl
6 years to 15 years: 0.3 - 0.7 mg/dl
> = 16 years: 0.6 - 1.1 mg/dl

Electrolytes:
Carbon Dioxide 
< 1 year: 15 - 24 mmol/L
> 1 year: 22 - 30 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

Glucose: 
70 - 110 mg/dL
Critical Ranges:

Blood Urea Nitrogen (BUN)
NICU (Infants in a Parkview Health Neonatal Intensive Care Unit): 
>50 mg/dL

Pediatric to Adult
>100 mg/dL

Calcium: 
NICU (Infants in a Parkview Health Neonatal Intensive Care Unit): 
Low: < 6.0 mg/dL 
High: > 11.5 mg/dL

Low: < 7.0 mg/dL 
High: > 13.0 mg/dL

Creatinine:
> 10.0 mg/dL

Electrolytes:
Carbon Dioxide 
Low: < 10 mmol/L
High: > 45 mmol/L

Potassium
NICU (Infants in a Parkview Health Neonatal Intensive Care Unit): 
Low: <3.5 mmol/L
High: >6.9 mmol/L

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

Glucose:
Pediatric Low: < 30 mg/dL
Pediatric High: > 300 mg/dL
Inpatient Low: < 40 mg/dL
Inpatient High: > 500 mg/dL
Outpatient Low: < 40 mg/dL
Outpatient High: > 400 mg/dL

Test Comments: Test can be reported with disclaimer if on cells for 4-6 hours
Methodology: Colorimetric / 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: BMP
EPIC Test Code: LAB15
Alternate Test Names: BMP; Chem 8; Chemistry Panel 8
Included Tests: Blood Urea Nitrogen (BUN); Calcium (Ca); Creatinine; Electrolytes [Carbon Dioxide (CO2); Chloride (CL); Potassium (K); Sodium (Na)]; Glucose
CPT Coding: 80048

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