Last Modified:
5/29/2019 12:48:52 PM
Medical Necessity Documentation:
Client Notes:
Patient Preparation:
Specimen Requirements:
4.0 mL Whole Blood in a Green Top Tube - Li Heparin (FULL TUBE)
Collection Instructions:
Due to smearing of print while on ice, please label specimen following procedure and a second label in the pocket of transport bag with requisition
Place on ice immediately after collection for up to 2 hours
Transport & Storage: Temperature/Stability:
10 minutes Ambient
2 hours Iced
Reference Range:
Base Excess: -2.0 - 2.0
O2 Sat: 70% - 75%
pCO2: 40 - 50 mmHg
pH: 7.32 - 7.42
pO2: 25 - 47 mmHg
Critical Ranges:
Low Limits: High Limits
pCO2: < 20 pCO2: > 70
pH: < 7.10 pH: > 7.60
Test Comments:
Methodology:
ISE / Co-oximetry
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:
VABG
EPIC Test Code:
LAB79
Alternate Test Names:
Venous Blood Gas
Included Tests:
Base Excess; O2 Sat; pCO2; pH; pO2
CPT Coding:
82805
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