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Critical Care Panel, Whole Blood*

Important Note

*This test is orderable in Cerner as Critical Care Panel

Specimen must be brought to the lab immediately on wet ice.

Performing Laboratory

Rutland Regional Medical Center Laboratory

Specimen Requirements

Specimen Type: Whole blood                    

Container/Tube: Dark-green top (lithium heparin)                

Specimen Volume: Full tube

Specimen Minimum Volume: 2 mL

Collection Instructions:

1. Immediately place specimen on wet ice.

2. Send specimen in original tube.

3. Tube must remain unopened until test is performed.

Specimen Transport Temperature

On wet ice

Day(s) Performed

Daily

Available STAT

Analytical Time:

1 hour

Test Classification and CPT Coding

82330-Ionized calcium

82435-Chloride

82803-pH

82947-Glucose

83605-Lactate

84132-Potassium

84302-Sodium

85018-Hemoglobin

Methodology

Ion-Selective Electrode (ISE)

Includes base excess, bicarbonate, calculated hematocrit, chloride, ionized calcium, glucose, hemoglobin, lactate, O2 saturation, pCO2, pH, pO2, potassium, and sodium.

Reference Values

Base excess: -2 to 2 mmol/L

Bicarbonate: 24-32 mmol/L

Calculated hematocrit: no established reference values

Chloride: 98-106 mmol/L

Ionized calcium: 1.13-1.32 mmol/L

Critical values (automatic call-back): <0.9 mmol/L or >1.4 mmol/L

Glucose: 67-93 mg/dL

Critical values (automatic call-back): <50 mg/dL or >500 mg/dL

Hemoglobin: 12-18 g/dL

Critical values (automatic call-back): <7 g/dL or >18 g/dL

Lactate: 0.5-2 mmol/L

Critical values (automatic call-back): >4 mmol/L

O2 saturation: 92%-96%

pCO2: 32-46 mm Hg

Critical values (automatic call-back): <20 mm Hg or >70 mm Hg

pH: 7.38-7.46

Critical values (automatic call-back): <7.2 or >7.6

pO2: 74-108 mm Hg

Critical value (automatic call-back): <50 mm Hg

Potassium: 3.5-5.3 mmol/L

Critical values (automatic call-back): <2.5 mmol/L or >6 mmol/L

Sodium: 135-148 mmol/L

Critical values (automatic call-back): <124 mmol/L or >156 mmol/L